Active NPI
Kaeti Lindsay, R.D., L.D.
- Registered Dietitian
- Norcross, GA
National Provider Identifier
1619364692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD004403
- Practice address
- 4056 Wetherburn Way
Norcross, GA 30092-4608 - Phone
- (678) 736-4340
- NPI assigned
- Apr 17, 2015
- Last updated
- Apr 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD004403 | GA | Primary |
Addresses
Primary practice location
4056 Wetherburn Way
Norcross, GA 30092-4608
Mailing address
220 University Dr
Athens, GA 30605-1438
Phone (706) 296-2781
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD004403 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1619364692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 UNIVERSITY DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306051438",
"telephone_number": "706-296-2781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4056 WETHERBURN WAY",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300924608",
"telephone_number": "678-736-4340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSAY",
"first_name": "KAETI",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-17",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.