Lindsey Jayne Jun, MS, CNS, LDN, FDN-P

Primary specialty

NutritionistTaxonomy code 133N00000X

License

DX3759 Issued in MD

Practice address

10787 Dorchester Way
Woodstock, MD 21163-1468

Phone

(610) 413-2395

NPI assigned

Jul 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Lindsey Jayne Leh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Master of Science

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23535/brand/1/csg/1/fhir/r4

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.

• Heale Medical LLC

  • Multi-Specialty Clinic/Center
  • Vienna, VA
  • NPI 1578140968
  NPD (past)

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1407231863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10787 DORCHESTER WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631468",
            "telephone_number": "610-413-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10787 DORCHESTER WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631468",
            "telephone_number": "610-413-2395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8300 Boone Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822671",
            "country_code": "US",
            "telephone_number": "703-662-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1934 Old Gallows Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Tysons",
            "state": "VA",
            "postal_code": "221824050",
            "country_code": "US",
            "telephone_number": "703-506-1113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "234 Dinwiddie St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152193336",
            "country_code": "US",
            "telephone_number": "610-413-2395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUN",
        "first_name": "LINDSEY",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "MS, CNS, LDN, FDN-P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX3759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "LEH",
            "middle_name": "JAYNE",
            "prefix": "MISS",
            "credential": "MS, CNS, LDN, FDN-P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nutritionist in Woodstock, MD
• Providers in Woodstock, MD by specialty
• Nutritionist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.