Active NPI
Lindsay Pare
- Pediatric Nurse Practitioner
- Atlanta, GA
National Provider Identifier
1093342131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN238033
- Practice address
- 2225 Twin Lakes Dr
Atlanta, GA 30339-4123 - Phone
- (978) 837-8205
- NPI assigned
- Mar 26, 2020
- Last updated
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN238033 | GA | Primary |
Addresses
Primary practice location
2225 Twin Lakes Dr
Atlanta, GA 30339-4123
Mailing address
2225 Twin Lakes Dr
Atlanta, GA 30339-4123
Other practice location 1
1001 Johnson Ferry Road NE
Atlanta, GA 30342
Phone (404) 785-2608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN238033 | GA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1093342131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 TWIN LAKES DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303394123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 TWIN LAKES DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303394123",
"telephone_number": "978-837-8205"
}
],
"practiceLocations": [
{
"address_1": "1001 Johnson Ferry Road NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "30342",
"country_code": "US",
"telephone_number": "404-785-2608",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARE",
"first_name": "LINDSAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "GA",
"license": "RN238033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.