Individual provider Active NPI

Steven Richard Lindsay, RD

  • Registered Dietitian
  • Clovis, CA
National Provider Identifier
1386289825
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86116034 Issued in CA
Practice address
755 N Peach Ave
Ste A1
Clovis, CA 93611-7248
Phone
(559) 392-8090
NPI assigned
Nov 7, 2019
Last updated
Mar 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary Manager 132700000X 340625 CA
Registered Dietitian 133V00000X 86116034 CA Primary

Addresses

Primary practice location

755 N Peach Ave
Ste A1
Clovis, CA 93611-7248

Mailing address

755 N Peach Ave
Ste A1
Clovis, CA 93611-7248
Phone (559) 321-7836

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008003211 CA Practitioner - Registered Dietitian Or Nutrition Professional 7911327143 Reassigns benefits to 1 organization
Practice locations: Clovis, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
340625CAMDDietary Manager
86116034CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Dietetic Services Incorporated Dietitian, Registered CurrentSince Sep 21, 2021 Accepting new patients

Locations

755 N Peach Ave
Ste A1
Clovis, CA 93611
Phone (559) 321-7836

2575 E Perrin Ave
Ste 113
Fresno, CA 93720
Phone (559) 578-8500

5614 N Fresno St
Ste 118
Fresno, CA 93710
Phone (559) 281-5748

1533 7th St
Ste 107
Sanger, CA 93657
Phone (559) 578-8500

Organizations & group practices 1

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": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1386289825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N PEACH AVE",
            "address_2": "STE A1",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936117248",
            "telephone_number": "559-321-7836",
            "fax_number": "559-795-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N PEACH AVE",
            "address_2": "STE A1",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936117248",
            "telephone_number": "559-392-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "STEVEN",
        "middle_name": "RICHARD",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-07",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "CA",
            "license": "340625",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86116034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.