Active NPI
Lindsey Surrell, RD
- Registered Dietitian
- Washington, DC
National Provider Identifier
1083933881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 968856
- Practice address
- 1330 5TH St NW
Apt 1
Washington, DC 20001-4816 - Phone
- (770) 265-5989
- NPI assigned
- May 19, 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 968856 | WA | Primary |
Addresses
Primary practice location
1330 5TH St NW
Apt 1
Washington, DC 20001-4816
Mailing address
1330 5TH St NW
Apt 1
Washington, DC 20001-4816
Phone (770) 265-5989
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1100000379 | Other | DC | DC LICENSE |
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 |
|---|---|---|---|
| 968856 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1083933881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 5TH ST NW",
"address_2": "APT 1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200014816",
"telephone_number": "770-265-5989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 5TH ST NW",
"address_2": "APT 1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200014816",
"telephone_number": "770-265-5989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURRELL",
"first_name": "LINDSEY",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-19",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "968856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC LICENSE",
"identifier": "D1100000379",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.