Individual provider Active NPI

Alice P Lindo

  • Nutritionist
  • Chester, VA
National Provider Identifier
1003148628
Registry record updated Feb 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1190208 Issued in VA
Practice address
11701 Chester Village Dr Apt 411
Chester, VA 23831-1957
Phone
(804) 778-7234
NPI assigned
Feb 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1190208 VA Primary

Addresses

Primary practice location

11701 Chester Village Dr Apt 411
Chester, VA 23831-1957

Mailing address

11701 Chester Village Dr Apt 411
Chester, VA 23831-1957
Phone (804) 778-7234

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

State licenses

LicenseStateTypeSpecialty
1190208VAMDNutritionist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265500800000",
    "number": "1003148628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 CHESTER VILLAGE DR APT 411",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311957",
            "telephone_number": "804-778-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 CHESTER VILLAGE DR APT 411",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311957",
            "telephone_number": "804-778-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDO",
        "first_name": "ALICE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-07",
        "last_updated": "2010-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "VA",
            "license": "1190208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2010; 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.