Individual provider Active NPI

Lindsey Mae Gatzow, RD LD

  • Renal Nutrition Registered Dietitian
  • Harvest, AL
National Provider Identifier
1417027947
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
1317 Issued in AL
Practice address
162 Appleberry LN
Harvest, AL 35749-4600
Phone
(256) 457-1347
NPI assigned
Nov 9, 2006
Last updated
Feb 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 1317 AL Primary

Addresses

Primary practice location

162 Appleberry LN
Harvest, AL 35749-4600

Mailing address

162 Appleberry LN
Harvest, AL 35749-4600
Phone (256) 457-1347

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

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235001600000",
    "number": "1417027947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 APPLEBERRY LN",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357494600",
            "telephone_number": "256-457-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 APPLEBERRY LN",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357494600",
            "telephone_number": "256-457-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATZOW",
        "first_name": "LINDSEY",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "RD LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2009-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "AL",
            "license": "1317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvest, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.