Individual provider Active NPI

Lindsay Marie Gillon, RDN, CDN, CDCES

  • Registered Dietitian
  • Niagara Falls, NY
National Provider Identifier
1538414396
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
007370 Issued in NY
Practice address
10175 Niagara Falls Blvd
Niagara Falls, NY 14304-2941
Phone
(716) 222-0297
Fax
(716) 794-9466
NPI assigned
Jul 18, 2012
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 007370 NY Primary

Addresses

Primary practice location

10175 Niagara Falls Blvd
Niagara Falls, NY 14304-2941

Mailing address

85 White Tail Run
Grand Island, NY 14072-3234
Phone (716) 870-9843

Other practice location 1

30 N Union Rd Ste 101
Williamsville, NY 14221-5367
Phone (716) 222-0297

Other names 1

  • Lindsay Putzbach Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150216000230 NY Practitioner - Registered Dietitian Or Nutrition Professional 4587989553 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007370NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Frank R. Laurri, M.D. & Associates, P.C. CurrentSince May 18, 2015 Accepting new patients
Signature OB/GYN LLP CurrentSince Feb 1, 2015 Accepting new patients
Frank R. Laurri, M.D. & Associates, P.C. CurrentSince May 18, 2015 Accepting new patients

Locations

9097 Main St
Clarence, NY 14031
Phone (716) 261-1474

10175 Niagara Falls Blvd
Niagara Falls, NY 14304
Phone (716) 205-0170

10175 Niagara Falls Blvd
#1
Niagara Falls, NY 14304
Phone (716) 205-0170

30 N Union Rd
Ste 101
Williamsville, NY 14221
Phone (716) 633-6363

Organizations & group practices 4

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1538414396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WHITE TAIL RUN",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140723234",
            "telephone_number": "716-870-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 NIAGARA FALLS BLVD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143042941",
            "telephone_number": "716-222-0297",
            "fax_number": "716-794-9466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 N Union Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142215367",
            "country_code": "US",
            "telephone_number": "716-222-0297",
            "fax_number": "716-794-9466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLON",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "credential": "RDN, CDN, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "PUTZBACH",
            "credential": "RD, CDN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.