Nicole Lee Burns, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN007461 Issued in PA

Practice address

30 N 4TH St FL 3
Lebanon, PA 17046-5606

Phone

(717) 270-7853

Fax

(717) 270-2215

NPI assigned

Aug 16, 2023

Last updated

Sep 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ephrata Community Hospital

  dba WellSpan Ephrata Community Hospital

  • Registered Dietitian
  • Stevens, PA
  • NPI 1568645448

  Dietitian, Registered

  Medicare reassignment NPD
• Ephrata Community Hospital

  dba WellSpan Ephrata Community Hospital

  • Certified Registered Nurse Anesthetist
  • Ephrata, PA
  • NPI 1063559912
  NPD
• Ephrata Community Hospital

  dba WellSpan Ephrata Community Hospital

  • Psychiatric Hospital Unit
  • Ephrata, PA
  • NPI 1215452354
  NPD

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1972386621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 4TH ST FL 3",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170465606",
            "telephone_number": "717-270-7853",
            "fax_number": "717-270-2215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 W Church St",
            "address_purpose": "LOCATION",
            "city": "Stevens",
            "state": "PA",
            "postal_code": "175789203",
            "country_code": "US",
            "telephone_number": "717-336-6578",
            "fax_number": "717-336-8284",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-7853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Buleza
• Jeremy Alan Bullock, CRNA
• Kristin Kamp Burkholder, CRNP
• Isabella Grace Burns, OTD, OTR/L
• Latoya C Burns, LSW
• Sara M. Burrill, RD
• Kristin Burton, DPT
• Mariah Burton
• James William Bush, M.D.
• Melanie Gail Byers, PHARMD

• Registered Dietitian in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.