Active NPI
Ayleen Porter-Luke, M.A., RDN, LDN
- Registered Dietitian
- Royal Palm Beach, FL
National Provider Identifier
1982075784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 6990
- Practice address
- 145 Martin Cir
Royal Palm Beach, FL 33411-1708 - Phone
- (917) 482-6161
- NPI assigned
- Oct 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | ND 6990 | FL | |
| Registered Dietitian | 133V00000X | ND 6990 | FL | Primary |
Addresses
Primary practice location
145 Martin Cir
Royal Palm Beach, FL 33411-1708
Mailing address
145 Martin Cir
Royal Palm Beach, FL 33411-1708
Phone (917) 482-6161
Other names 1
- Ayleen Marian Luke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 6990 | FL | MD | Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1982075784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 MARTIN CIR",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111708",
"telephone_number": "917-482-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 MARTIN CIR",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111708",
"telephone_number": "917-482-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER-LUKE",
"first_name": "AYLEEN",
"credential": "M.A., RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND 6990",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 6990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AYLEEN",
"last_name": "LUKE",
"middle_name": "MARIAN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.