Provider Demographics
NPI:1013708916
Name:OPIE, LINDSAY ELLEN (MS, RDN, CSSD, LDN)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ELLEN
Last Name:OPIE
Suffix:
Gender:F
Credentials:MS, RDN, CSSD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 MARATHON DRIVE
Mailing Address - Street 2:
Mailing Address - City:MURFRESSBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129
Mailing Address - Country:US
Mailing Address - Phone:229-669-1749
Mailing Address - Fax:
Practice Address - Street 1:1530 MARATHON DRIVE
Practice Address - Street 2:
Practice Address - City:MURFRESSBORO
Practice Address - State:TN
Practice Address - Zip Code:37129
Practice Address - Country:US
Practice Address - Phone:229-669-1749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37004294A133V00000X
TNLDN0000003238133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered