Individual provider Active NPI

Lindsay Henley, RD

  • Registered Dietitian
  • Newport, WA
National Provider Identifier
1295031987
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
60172359 Issued in WA
Practice address
328 W 4TH St
Newport, WA 99156-9094
Phone
(509) 840-9053
NPI assigned
Jan 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 60172359 WA Primary

Addresses

Primary practice location

328 W 4TH St
Newport, WA 99156-9094

Mailing address

594 Beaver Valley Rd
Newport, WA 99156-8779
Phone (509) 840-9053

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

LicenseStateTypeSpecialty
60172359WAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Henley LLC Dietitian, Registered CurrentSince Dec 1, 2024 Accepting new patients
Kootenai Health, Inc. Past Accepting new patients

Locations

328 W 4th St
Newport, WA 99156
Phone (509) 240-4856

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": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1295031987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "594 BEAVER VALLEY RD",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991568779",
            "telephone_number": "509-840-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W 4TH ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569094",
            "telephone_number": "509-840-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "LINDSAY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "60172359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.