Active NPI
Lindsay Danielle Hissong, RD
- Registered Dietitian
- Prairie Village, KS
National Provider Identifier
1174355598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2819
- Practice address
- 4731 W 78TH St
Prairie Village, KS 66208-4408 - Phone
- (913) 228-3053
- NPI assigned
- Aug 14, 2024
- 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 | 2819 | KS | Primary |
Addresses
Primary practice location
4731 W 78TH St
Prairie Village, KS 66208-4408
Mailing address
4731 W 78TH St
Prairie Village, KS 66208-4408
Phone (913) 228-3053
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 |
|---|---|---|---|
| 2819 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1174355598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4731 W 78TH ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662084408",
"telephone_number": "913-228-3053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4731 W 78TH ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662084408",
"telephone_number": "913-228-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HISSONG",
"first_name": "LINDSAY",
"middle_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-14",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.