Individual provider Active NPI

Linda Allen, R.D.

  • Registered Dietitian
  • Lewistown, MT
National Provider Identifier
1336130137
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
471 Issued in MT
Practice address
310 Wendell Ave
#103
Lewistown, MT 59457-2267
Phone
(406) 538-1480
Fax
(406) 538-1481
NPI assigned
Oct 31, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 471 MT Primary

Addresses

Primary practice location

310 Wendell Ave
#103
Lewistown, MT 59457-2267

Mailing address

1111 5TH Ave N
Lewistown, MT 59457-1419
Phone (406) 538-1480

Other identifiers 1

IdentifierTypeStateIssuer
0280709MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230617000195 FL Practitioner - Registered Dietitian Or Nutrition Professional 4880676808
I20231208001272 OH Practitioner - Registered Dietitian Or Nutrition Professional 4880676808
I20240731001715 TX Practitioner - Registered Dietitian Or Nutrition Professional 4880676808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
471MTMDPhysical Therapist
1447NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Reset Kidney LLC CurrentSince Oct 28, 2023 Accepting new patients
Nourish, Inc. Dietitian, Registered CurrentSince Jun 14, 2024 Accepting new patients
Fruit Street Health, PBC CurrentSince May 30, 2025 Accepting new patients

Locations

500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000

1406 Dickerson St
Newark, OH 43055
Phone (740) 344-6808

3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336130137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 5TH AVE N",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594571419",
            "telephone_number": "406-538-1480",
            "fax_number": "406-538-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WENDELL AVE",
            "address_2": "#103",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594572267",
            "telephone_number": "406-538-1480",
            "fax_number": "406-538-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "LINDA",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0280709",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.