Individual provider Active NPI

David Lindsley, RD, LD

  • Metabolic Nutrition Registered Dietitian
  • Vancouver, WA
National Provider Identifier
1851712772
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
DI00001197 Issued in WA
Practice address
4400 NE 77TH Ave
Suite 275
Vancouver, WA 98662-6829
Phone
(360) 771-4826
Fax
(360) 326-1621
NPI assigned
Dec 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X DI00001197 WA Primary
Pediatric Nutrition Registered Dietitian 133VN1004X DI00001197 WA
Registered Dietitian 133V00000X DI00001197 WA
Nutritionist 133N00000X DI00001197 WA

Addresses

Primary practice location

4400 NE 77TH Ave
Suite 275
Vancouver, WA 98662-6829

Mailing address

4400 NE 77TH Ave
Suite 275
Vancouver, WA 98662-6829
Phone (360) 771-4826

Other identifiers 1

IdentifierTypeStateIssuer
DI00001197MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI00001197WAMDMetabolic Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Zoia Healthcare Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1851712772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 NE 77TH AVE",
            "address_2": "SUITE 275",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626829",
            "telephone_number": "360-771-4826",
            "fax_number": "360-326-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NE 77TH AVE",
            "address_2": "SUITE 275",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626829",
            "telephone_number": "360-771-4826",
            "fax_number": "360-326-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSLEY",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-18",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "WA",
            "license": "DI00001197",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "WA",
            "license": "DI00001197",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001197",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "WA",
            "license": "DI00001197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DI00001197",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.