Provider Demographics
NPI:1659621266
Name:LINDLEY, KRISTA MARIE (MS, RD, LD, CDE)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:MARIE
Last Name:LINDLEY
Suffix:
Gender:F
Credentials:MS, RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N BROWN AVENUE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:TX
Mailing Address - Zip Code:76531
Mailing Address - Country:US
Mailing Address - Phone:254-386-1891
Mailing Address - Fax:254-386-1899
Practice Address - Street 1:400 N BROWN AVENUE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:TX
Practice Address - Zip Code:76531
Practice Address - Country:US
Practice Address - Phone:254-386-1891
Practice Address - Fax:254-386-1899
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT82452133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered