Active NPI
Lindsey Pfau, MS RD LD/N
- Registered Dietitian
- Hurlburt Field, FL
National Provider Identifier
1295100923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1089890
- Practice address
- 210 Cody Ave
Hurlburt Field, FL 32544-5305 - Phone
- (413) 265-5243
- NPI assigned
- Dec 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | ND6685 | FL | |
| Registered Dietitian | 133V00000X | 1089890 | FL | Primary |
Addresses
Primary practice location
210 Cody Ave
Hurlburt Field, FL 32544-5305
Mailing address
2009 N Meridian Rd Apt a
Tallahassee, FL 32303-5035
Phone (413) 265-5243
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND6685 | FL | MD | Nutritionist |
| 1089890 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1295100923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2009 N MERIDIAN RD APT A",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323035035",
"telephone_number": "413-265-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 CODY AVE",
"city": "HURLBURT FIELD",
"state": "FL",
"postal_code": "325445305",
"telephone_number": "413-265-5243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFAU",
"first_name": "LINDSEY",
"credential": "MS RD LD/N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "FL",
"license": "ND6685",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "1089890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurlburt Field, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.