Active NPI
Cristen Lindsay, RDN
- Registered Dietitian
- Clovis, CA
National Provider Identifier
1992225643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2851 Serena Ave
Clovis, CA 93619-7403 - Phone
- (805) 234-6048
- Fax
- (805) 234-6048
- NPI assigned
- Jun 23, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2851 Serena Ave
Clovis, CA 93619-7403
Mailing address
968 Descanso Ave
Clovis, CA 93619-7950
Phone (805) 234-6048
Other names 1
- Cristen Whitaker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251021004531 | CA | Practitioner - Registered Dietitian Or Nutrition Professional | 4789172826 | Practice locations: Clovis, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Clovis, CA 93619
Phone (805) 234-6048
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1992225643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 DESCANSO AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936197950",
"telephone_number": "805-234-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 SERENA AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936197403",
"telephone_number": "805-234-6048",
"fax_number": "805-234-6048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSAY",
"first_name": "CRISTEN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTEN",
"last_name": "WHITAKER",
"credential": "RDN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.