Lyla J Timm, CDE

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

R15244 Issued in ND

Practice address

222 N 7TH St
Bismarck, ND 58501-4436

Phone

(701) 323-6000

Fax

(701) 323-5709

NPI assigned

Oct 11, 2006

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

Other names 1

• Lyla J Baklund 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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1992893168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5501",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585065501",
            "telephone_number": "701-323-6000",
            "fax_number": "701-323-5709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 7TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014436",
            "telephone_number": "701-323-6000",
            "fax_number": "701-323-5709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMM",
        "first_name": "LYLA",
        "middle_name": "J",
        "credential": "CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "ND",
            "license": "R15244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYLA",
            "last_name": "BAKLUND",
            "middle_name": "J",
            "credential": "CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsi Thunshelle
• Terry Lee Thunshelle, PT
• Katie Thurman, STUDENT
• Danielle Patricia Thurtle, M.D.
• Kamela Timm, MOT, OTR/L
• Adrianna Gabrielle Tincher
• Amber Tincher, MD
• Michelle R Tincher, MD
• Mandi Tipton, LAC
• Janice Kay Tishmack, L.S.W.

• Nutrition Education Nutritionist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Nutrition Education Nutritionist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.