Lida Johnson Buckley, M.S., R,D., C.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN0000003954 Issued in TN

Practice address

733 Springlake Dr
Franklin, TN 37064-4839

Phone

(425) 999-9638

NPI assigned

Sep 13, 2016

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1679021117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 SPRINGLAKE DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644839",
            "telephone_number": "425-999-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 SPRINGLAKE DR",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644839",
            "telephone_number": "425-999-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "LIDA",
        "middle_name": "JOHNSON",
        "name_prefix": "Mrs.",
        "credential": "M.S., R,D., C.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "NU00001499",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "NU00001499",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000003954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lida@soundmindnutrition.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "733 Springlake Dr",
            "city": "Franklin",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370644839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Callie Forney Brunsvold, RDH
• Brett Bryant, PHARM.D.
• Krystain Taylore Bryant, B.S IN PSYCHOLOGY
• Zack Ellis Bryant, M.D.
• Rachel Buchanan
• Christina Greenwell Buckner, MS, LPC-MHSP
• George Standley Buckner, MD
• Paul Cyril Buechel, MD
• Sullivan Buerger
• Thomas P Bukoskey, DPT

• Registered Dietitian in Franklin, TN
• Providers in Franklin, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.