NPI 1982178463 · live from the CMS NPI Registry
Lydia Ballenger
Dietitian, Registered in Indianapolis, IN. National Provider Identifier 1982178463, active.
NPI record
| NPI | 1982178463 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 566 Ironridge Ct, Indianapolis, IN 46239 |
| Practice phone | 765-506-0376 |
| Enumerated | January 17, 2019 |
| Last updated | January 17, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 37001780A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.