Lynette Packard-Fales, RD, CDCES, LMNT, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1228 Issued in NE

Practice address

113 Comanche Rd
Fort Meade, SD 57741-1002

Phone

(308) 708-9294

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lynette Packard-Fales Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1922478130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PLATT ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577020361",
            "telephone_number": "308-708-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "308-708-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD-FALES",
        "first_name": "LYNETTE",
        "credential": "RD, CDCES, LMNT, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2024-03-18",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NE",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "PACKARD-FALES",
            "credential": "RD, CDCES, LMNT, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teena Louise O'Toole, RN
• Lisa M Osborne
• Jessica Oswald
• Michael Owen, RN BSN
• Kimberly Ann Oxner
• Bradley Painter, LPN, RN
• Giovanni Paoli, D.O.
• Emily Adrienne Paris, AUD
• Angel Marie Park, RN
• Brittany Renee Pase, DC

• Registered Dietitian in Fort Meade, SD
• Providers in Fort Meade, SD by specialty
• Registered Dietitian in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.