Individual provider Active NPI

Lindsay Nicole House, F.N.P.

  • Family Nurse Practitioner
  • Florence, KY
National Provider Identifier
1053624809
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
654OP Issued in KY
Practice address
10060 Demia Way
Florence, KY 41042-4734
Phone
(859) 525-6770
NPI assigned
Jul 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 654OP KY Primary

Addresses

Primary practice location

10060 Demia Way
Florence, KY 41042-4734

Mailing address

10060 Demia Way
Florence, KY 41042-4734
Phone (859) 525-6770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000630 KY Practitioner - Nurse Practitioner 7618154246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Center PSCGroup PAC ID 8426032889, 4 clinicians

Practice addresses (Care Compare)

10060 Demia Way
Florence, KY 41042-4734
Phone (859) 525-6770

Hospital & facility affiliations

  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
654OPKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Center PSC CurrentSince Apr 28, 2011 Accepting new patients
The Dermatology Center,PSC Past Accepting new patients

Locations

10060 Demia Way
Florence, KY 41042
Phone (859) 525-6770

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1053624809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10060 DEMIA WAY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424734",
            "telephone_number": "859-525-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10060 DEMIA WAY",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424734",
            "telephone_number": "859-525-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "LINDSAY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "654OP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.