Individual provider Active NPI

Lindsey Ince, MS, RD/LD

  • Registered Dietitian
  • Broken Arrow, OK
National Provider Identifier
1720486046
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1890 Issued in OK
Practice address
713 N Laurel Ave
Broken Arrow, OK 74012-2265
Phone
(918) 605-4439
NPI assigned
Dec 18, 2014
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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 1890 OK Primary

Addresses

Primary practice location

713 N Laurel Ave
Broken Arrow, OK 74012-2265

Mailing address

713 N Laurel Ave
Broken Arrow, OK 74012-2265
Phone (918) 605-4439

Other names 1

  • Lindsey Myers Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1720486046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N LAUREL AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122265",
            "telephone_number": "918-605-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N LAUREL AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122265",
            "telephone_number": "918-605-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCE",
        "first_name": "LINDSEY",
        "credential": "MS, RD/LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OK",
            "license": "1890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "MYERS",
            "credential": "MS, RD/LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.