Active NPI
Kristen Elise Lindstrom, R.D.
- Registered Dietitian
- Indianapolis, IN
National Provider Identifier
1902145337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1001929
- Practice address
- 5361 Byram Ave
Indianapolis, IN 46208-2423 - Phone
- (317) 340-0822
- Fax
- (317) 259-7463
- NPI assigned
- Feb 5, 2013
- 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 | 1001929 | IN | Primary |
Addresses
Primary practice location
5361 Byram Ave
Indianapolis, IN 46208-2423
Mailing address
5361 Byram Ave
Indianapolis, IN 46208-2423
Phone (317) 340-0822
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 |
|---|---|---|---|
| 1001929 | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1902145337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5361 BYRAM AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462082423",
"telephone_number": "317-340-0822",
"fax_number": "317-259-7463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5361 BYRAM AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462082423",
"telephone_number": "317-340-0822",
"fax_number": "317-259-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSTROM",
"first_name": "KRISTEN",
"middle_name": "ELISE",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "1001929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.