Active NPI
Lindsay Wellman, MS, RD, LDN
- Registered Dietitian
- Bedford, MA
National Provider Identifier
1619528072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4617-NU
- Practice address
- 200 Springs Rd
Bedford, MA 01730-1114 - Phone
- (781) 687-2454
- NPI assigned
- Sep 26, 2019
- 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 | 4617-NU | MA | Primary |
Addresses
Primary practice location
200 Springs Rd
Bedford, MA 01730-1114
Mailing address
200 Springs Rd
120, Nutrition Department
Bedford, MA 01730-1198
Phone (781) 687-2454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1084616 | Other | ACADEMY OF NUTRITION AND DIETETICS | |
| 4617-NU | Other | MA | MASSACHUSETTS BOARD OF REGISTRATION OF DIETITIANS AND NUTRITIONISTS |
Other names 1
- Lindsay Small
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lindsay.wellman@va.gov |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4617-NU | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1619528072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SPRINGS RD",
"address_2": "120, NUTRITION DEPARTMENT",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301198",
"telephone_number": "781-687-2454",
"fax_number": "781-687-4440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SPRINGS RD",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017301114",
"telephone_number": "781-687-2454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLMAN",
"first_name": "LINDSAY",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4617-NU",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACADEMY OF NUTRITION AND DIETETICS",
"identifier": "1084616",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSACHUSETTS BOARD OF REGISTRATION OF DIETITIANS AND NUTRITIONISTS",
"identifier": "4617-NU",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lindsay.wellman@va.gov",
"affiliation": "N",
"address_1": "200 Springs Rd",
"city": "Bedford",
"state": "MA",
"country_code": "US",
"postal_code": "017301114",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "SMALL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.