Active NPI
Lindsey Leigh Granger, ARNP
- Nurse Practitioner
- Orlando, FL
National Provider Identifier
1104132018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9407864
- Practice address
- 13535 Nemours Parkway
Nemours Childrens Hospital,
Orlando, FL 32827-7402 - Phone
- (407) 567-4000
- Fax
- (407) 650-7277
- NPI assigned
- Aug 30, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9268813 | FL | |
| Nurse Practitioner | 363L00000X | ARNP9407864 | FL | Primary |
Addresses
Primary practice location
13535 Nemours Parkway
Nemours Childrens Hospital,
Orlando, FL 32827-7402
Mailing address
P.O. Box 191
Provider Enrollment Department,
Rockland, DE 19732-0191
Phone (302) 298-7371
Other names 1
- Lindsey Leigh Gavin-Garn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150924002980 | FL | Order and Referring Only - Nurse Practitioner | 3870801830 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9268813 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Past | Accepting new patients |
Interoperability endpoints
- lgranger55277@direct.nemours.org
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1104132018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 191",
"address_2": "PROVIDER ENROLLMENT DEPARTMENT,",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-298-7371",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13535 NEMOURS PARKWAY",
"address_2": "NEMOURS CHILDRENS HOSPITAL,",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277402",
"telephone_number": "407-567-4000",
"fax_number": "407-650-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGER",
"first_name": "LINDSEY",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "ARNP9268813",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9407864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "GAVIN-GARN",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.