Individual provider Active NPI

Ayleen Porter-Luke, M.A., RDN, LDN

  • Registered Dietitian
  • Royal Palm Beach, FL
National Provider Identifier
1982075784
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND 6990 Issued in FL
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

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
ND 6990FLMDNutritionist

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.

Verify at the official NPI Registry.