Active NPI
Lyndsay Jo Ruff, RD
- Registered Dietitian
- Owosso, MI
National Provider Identifier
1003108978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1042207
- Practice address
- 802 W King St
Suite R
Owosso, MI 48867-2100 - Phone
- (989) 729-4710
- Fax
- (989) 729-7762
- NPI assigned
- May 10, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oncology Nutrition Registered Dietitian | 133VN1301X | 1042207 | MI | |
| Registered Dietitian | 133V00000X | 1042207 | MI | Primary |
Addresses
Primary practice location
802 W King St
Suite R
Owosso, MI 48867-2100
Mailing address
802 W King St
Suite R
Owosso, MI 48867-2100
Phone (989) 729-4710
Other names 1
- Lyndsay Jo Gross
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1042207 | MI | MD | Oncology Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1003108978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 W KING ST",
"address_2": "SUITE R",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672100",
"telephone_number": "989-729-4710",
"fax_number": "989-729-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 W KING ST",
"address_2": "SUITE R",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488672100",
"telephone_number": "989-729-4710",
"fax_number": "989-729-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFF",
"first_name": "LYNDSAY",
"middle_name": "JO",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-10",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1301X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": "MI",
"license": "1042207",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "1042207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDSAY",
"last_name": "GROSS",
"middle_name": "JO",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Owosso, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.