Active NPI
Diane Louise Lindstrom, R.D.
- Registered Dietitian
- Yakima, WA
National Provider Identifier
1821238502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI 00001183
- Practice address
- 1111 W Spruce St Ste 32
Yakima, WA 98902-3222 - Phone
- (509) 949-1626
- Fax
- (509) 452-6295
- NPI assigned
- Feb 20, 2009
- Last updated
- Feb 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | DI 00001183 | WA | Primary |
Addresses
Primary practice location
1111 W Spruce St Ste 32
Yakima, WA 98902-3222
Mailing address
1111 W Spruce St Ste 32
Yakima, WA 98902-3222
Phone (509) 949-1626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DI00001183 | Other | WA | WASHINGTON STATE DEPT. OF HEALTH |
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 |
|---|---|---|---|
| DI 00001183 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1821238502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W SPRUCE ST STE 32",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023222",
"telephone_number": "509-949-1626",
"fax_number": "509-452-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W SPRUCE ST STE 32",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023222",
"telephone_number": "509-949-1626",
"fax_number": "509-452-6295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSTROM",
"first_name": "DIANE",
"middle_name": "LOUISE",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI 00001183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPT. OF HEALTH",
"identifier": "DI00001183",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.