COLLEEN ANNE LINGLEY (NPI# 1821228453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821228453 |
| Entity Type | Individual |
| Full Name | COLLEEN ANNE LINGLEY |
| Other Name | COLLEEN ANNE BURKE |
| Credential | RD |
| Practice Address |
1050 N San Francisco St Suite B Flagstaff AZ 86001-3259 |
| Mailing Address |
1200 N Beaver St Payer Credentialing Flagstaff AZ 86001-3118 |
| Practice Telephone | 9282143737 |
| Practice Fax Number | 9282143837 |
| Mailing Telephone | 9282136235 |
| Mailing Fax Number | 9282136292 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 961594 | AZ | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 447638 | 05 | |
| AZ | 45-4464070 | TAX ID | 01 |
| Street Address |
1050 N SAN FRANCISCO ST SUITE B |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-3259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386647816 | Laurice P Coats | Family Medicine | 1050 N San Francisco St, Ste F, Flagstaff, AZ 86001-3259 | 2005-05-30 |
| 1427081843 | Kyrke Brandon Baillie | Dentist | 1050 N San Francisco St, Ste B, Flagstaff, AZ 86001-3259 | 2006-07-09 |
| 1346273752 | Pontip Baillie | Dentist | 1050 N San Francisco St, Suite B, Flagstaff, AZ 86001-3259 | 2006-07-09 |
| 1184676280 | Horizon Healthcare | Family Medicine | 1050 N San Francisco St, Ste A, Flagstaff, AZ 86001-3259 | 2006-05-17 |
| 1306832670 | Patricia M Olm | Internal Medicine | 1050 N San Francisco St, Ste B, Flagstaff, AZ 86001-3259 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114480183 | Evolve Flagstaff LLC | Dietitian, Registered | 123 W Birch Ave Ste 100, Flagstaff, AZ 86001-4508 | 2019-04-08 |
| 1043705577 | Lorraine Damiani Crim | Dietitian, Registered | 718 W Grand Canyon Ave, Flagstaff, AZ 86001-5413 | 2018-06-27 |
| 1417340548 | Kirstin Nelson | Dietitian, Registered | 1000 N Humphreys St Ste 210, Flagstaff, AZ 86001-3125 | 2015-03-13 |
| 1013263466 | Angela Marie Onsgard | Dietitian, Registered | 2393 W Cripple Creek Dr, Flagstaff, AZ 86001-2680 | 2012-08-02 |
| 1801048467 | Peak Nutrition, Pllc | Dietitian, Registered | 97 Kletha Trl, Flagstaff, AZ 86001-9655 | 2008-10-15 |
| 1033301874 | Gayle Marie Baingo | Dietitian, Registered | 1210 W Davis Way, Flagstaff, AZ 86001-1201 | 2007-08-15 |
| 1922143924 | Jody Hoskins | Dietitian, Registered | 1200 N Beaver St., Flagstaff, AZ 86001-3118 | 2007-02-20 |
| 1477654903 | Diane L Phillips | Dietitian, Registered | 1215 N Beaver St Ste 201, Flagstaff, AZ 86001-3126 | 2006-09-26 |
| 1093351652 | Mary Layne Graham | Dietitian, Registered | 1000 N Humphreys St Ste 210, Flagstaff, AZ 86001-3125 | 2019-11-19 |
| 1235797283 | Rebecca R Boger | Dietitian, Registered | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2019-06-04 |
| Find all providers in FLAGSTAFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.