Christie Lauren Custodio-Lumsden, PHD, MS, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

007380 Issued in NY

Practice address

622 W 168TH St PH 7-322
New York, NY 10032-3720

Phone

(212) 342-0137

NPI assigned

Jun 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1700454469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SHORE RD",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023927",
            "telephone_number": "516-991-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST PH 7-322",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-342-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTODIO-LUMSDEN",
        "first_name": "CHRISTIE",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PHD, MS, RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "007380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION ID",
            "identifier": "1014411",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE DIETETICS-NUTRITION LICENSE/CERTIFICATION ID",
            "identifier": "007380",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fred D Cushner, MD
• Alyssa Cusick
• Dana Cusick, RN
• Tara Cuskley, PSY. D
• Karl Richard Custer II, LMSW
• Anna G. Custodio, AGPCNP-BC
• Christian M Custodio, MD
• Escarle Custodio, NP
• Custom Healthcare Solutions
• Customer Marketing Group

• Registered Dietitian in New York, NY
• Providers in New York, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.