Active NPI
Lindsay Frank Keeney, RD, LD, CD, CNSC
- Registered Dietitian
- Glendale, WI
National Provider Identifier
1851607113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3185-29
- Practice address
- 5261 N Port Washington Rd Ste 201
Glendale, WI 53217-4903 - Phone
- (206) 948-8810
- Fax
- (503) 893-3038
- NPI assigned
- Aug 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2932 | MN | |
| Registered Dietitian | 133V00000X | 3185-29 | WI | Primary |
Addresses
Primary practice location
5261 N Port Washington Rd Ste 201
Glendale, WI 53217-4903
Mailing address
8837 N Iroquois Rd
Bayside, WI 53217-1712
Other practice location 1
8837 N Iroquois Rd
Bayside, WI 53217-1712
Phone (503) 494-5466
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2932 | Other | MN | DIETETIC LICENSURE |
| 3185-29 | Other | WI | CERTIFIED DIETITIAN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3185-29 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1851607113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8837 N IROQUOIS RD",
"city": "BAYSIDE",
"state": "WI",
"postal_code": "532171712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5261 N PORT WASHINGTON RD STE 201",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532174903",
"telephone_number": "206-948-8810",
"fax_number": "503-893-3038"
}
],
"practiceLocations": [
{
"address_1": "8837 N Iroquois Rd",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "WI",
"postal_code": "532171712",
"country_code": "US",
"telephone_number": "503-494-5466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEENEY",
"first_name": "LINDSAY",
"middle_name": "FRANK",
"credential": "RD, LD, CD, CNSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "2932",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "3185-29",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETETIC LICENSURE",
"identifier": "2932",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED DIETITIAN",
"identifier": "3185-29",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.