LYNN E DIVEN (RD LD CDE) – Registered Dietitian, NPI 1023101136

LYNN E DIVEN (RD LD CDE) is a healthcare provider. based in State college, Pennsylvania. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD LD CDE. They hold a License No. DN003719 (PA). The NPI Number for LYNN E DIVEN (RD LD CDE) is 1023101136

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
LYNN E DIVEN (RD LD CDE)
NPI
1023101136
Phone
(814) 689-3156
Address
1850 E PARK AVE
Enumeration Date
2 October 2006
Last Update Date
11 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7176677720
Graduation Year
1997 (29 years ago)
PAC ID
2668416165
Group Practice PAC ID
8426136797
Professional Enrollment ID
I20161128002273
Address ID
PA170848943RE96XXXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

375 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in PA

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Provider Addresses for LYNN E DIVEN (RD LD CDE)

  • State College, Centre County, Pennsylvania, United States

    STE 312

    STATE COLLEGE, PA 168036706

    Phone: (814) 689-3156

    Fax: (814) 689-1954

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161128002273IRegistered Dietitian Or Nutrition ProfessionalPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0108Diabetes outpatient self-management training services, individual, per 30 minutes21593$0
97802Therapy procedure for nutrition management, each 15 minutes6314$0
View full utilization report →

Insurance plans in this area (ZIP 16803)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426136797View full group profile
NameSpecialtyState
-PA
Nurse PractitionerPA
-PA
Nurse PractitionerPA
-PA
-PA
Physician AssistantPA
Internal Medicine, Hospice/Palliative CarePA
Diagnostic RadiologyPA
Family PracticePA

Reviews

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Frequently asked questions

How do I look up LYNN E DIVEN (RD LD CDE) by NPI?
Use NPI 1023101136 when you need to reference LYNN E DIVEN (RD LD CDE) in forms, claims, or directories.
Does this profile mean LYNN E DIVEN (RD LD CDE) is currently active?
Yes — LYNN E DIVEN (RD LD CDE) appears active in the national provider directory.
Can you summarize LYNN E DIVEN (RD LD CDE)'s specialty in plain language?
Clinically, the directory lists LYNN E DIVEN (RD LD CDE) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
What location shows for LYNN E DIVEN (RD LD CDE)?
We surface State College, Pennsylvania for LYNN E DIVEN (RD LD CDE) based on available NPPES addresses.
How can I contact LYNN E DIVEN (RD LD CDE)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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Unknown Individual

Registered Dietitian
1850, East Park Avenue, State College, Centre County, Pennsylvania, 16803, United States
NPI: 1487808937