Individual provider Active NPI

Lindsey Renee Von Thomas, R.D.

  • Registered Dietitian
  • Buffalo, NY
National Provider Identifier
1093267734
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86051927 Issued in NY
Practice address
78 Shoreham Pkwy
Buffalo, NY 14216-2203
Phone
(716) 397-4191
Fax
(716) 828-8266
NPI assigned
Oct 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 86051927 NY Primary

Addresses

Primary practice location

78 Shoreham Pkwy
Buffalo, NY 14216-2203

Mailing address

78 Shoreham Pkwy
Buffalo, NY 14216-2203
Phone (716) 397-4191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230616001698 NY Practitioner - Registered Dietitian Or Nutrition Professional 3173981594 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86051927NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing and Speech Services of Western New York Past Accepting new patients

Organizations & group practices 2

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": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1093267734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SHOREHAM PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162203",
            "telephone_number": "716-397-4191",
            "fax_number": "716-828-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SHOREHAM PKWY",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142162203",
            "telephone_number": "716-397-4191",
            "fax_number": "716-828-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON THOMAS",
        "first_name": "LINDSEY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86051927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.