Individual provider Active NPI

Lindsey Guthrie

  • Registered Dietitian
  • Jacksonville Beach, FL
National Provider Identifier
1013334283
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1079622 Issued in FL
Practice address
2380 3Rd St S Ste 1
Jacksonville Beach, FL 32250-8039
Phone
(904) 270-1234
Fax
(904) 513-9268
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1079622 FL Primary

Addresses

Primary practice location

2380 3Rd St S Ste 1
Jacksonville Beach, FL 32250-8039

Mailing address

2380 3Rd St S Ste 1
Jacksonville Beach, FL 32250-8039
Phone (904) 270-1234

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1079622FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Beaded Star Recovery,LLC Dietitian, Registered Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1013334283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 3RD ST S STE 1",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508039",
            "telephone_number": "904-270-1234",
            "fax_number": "904-513-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 3RD ST S STE 1",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508039",
            "telephone_number": "904-270-1234",
            "fax_number": "904-513-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "1079622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.