Individual provider Active NPI

Lindsey Evans, RD, CLC, CDCES

  • Registered Dietitian
  • Roanoke, VA
National Provider Identifier
1972272763
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86046724 Issued in VA
Practice address
1030 S Jefferson St Ste G101
Roanoke, VA 24016-4418
Phone
(540) 224-4360
NPI assigned
Sep 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 86046724 VA Primary

Addresses

Primary practice location

1030 S Jefferson St Ste G101
Roanoke, VA 24016-4418

Mailing address

1030 S Jefferson St Ste G101
Roanoke, VA 24016-4418
Phone (540) 224-4360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128000096 VA Practitioner - Registered Dietitian Or Nutrition Professional 9032567334 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86046724VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Sep 10, 2023 Accepting new patients
Carilion Medical Center CurrentSince Sep 10, 2023 Accepting new patients

Locations

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

1030 S Jefferson St
Ste G101
Roanoke, VA 24016
Phone (540) 224-4360

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

1030 S Jefferson St
Ste G100
Roanoke, VA 24016
Phone (540) 983-1100

Organizations & group practices 2

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": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1972272763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S JEFFERSON ST STE G101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164418",
            "telephone_number": "540-224-4360",
            "fax_number": "540-224-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S JEFFERSON ST STE G101",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164418",
            "telephone_number": "540-224-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LINDSEY",
        "credential": "RD, CLC, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "86046724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.