Lynette Packard-Fales, RD, CDCES, LMNT, LD
NPI 1922478130ActiveIndividual· Dietitian, Registered· Fort Meade, SD
Dietitian, Registered (RD, CDCES, LMNT, LD) in Fort Meade, South Dakota, licensed in NE, with an NPI issued in September 2015.
Overview
| NPI | 1922478130 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, CDCES, LMNT, LD |
| Sole proprietor | Yes |
| NPI issued | Sep 30, 2015 |
| Last updated in NPPES | Mar 18, 2024 |
| Certified by provider | Dec 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1228 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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