Active NPI
Alice P Lindo
- Nutritionist
- Chester, VA
National Provider Identifier
1003148628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- License
- 1190208
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1190208 | VA | MD | Nutritionist |
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.