MEDICARE: LINDSEY MATHES RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86028422	OH

General Provider Information

NPI Number	:	1053846212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY MATHES RD

Provider Business Mailing Address
First Line	:	156 DELAND AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3024
Country	:	US
Telephone Number	:	252-649-9636
Fax Number	:

Provider Business Practice Location Address
First Line	:	5202 BETHEL REED PARK STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-1818
Country	:	US
Telephone Number	:	252-649-9636
Fax Number	:	614-670-5742

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2017
Last Update Date	:	02/03/2025

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