Healthcare Provider Details

I. General information

NPI: 1124507223
Provider Name (Legal Business Name): LINDSEY W SIMS RDN, LD, SNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 HIGHLAND COLONY PKWY STE 5203
RIDGELAND MS
39157-2079
US

IV. Provider business mailing address

523 HUNTERS CREEK CIR
MADISON MS
39110-8399
US

V. Phone/Fax

Practice location:
  • Phone: 662-231-5890
  • Fax:
Mailing address:
  • Phone: 662-231-5890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberD1835
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: