Individual provider Active NPI

Lindsey M Robbins, FNP-C

  • Family Nurse Practitioner
  • Dewey, AZ
National Provider Identifier
1104285253
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7334 Issued in AZ
Practice address
12075 E State Route 69 Ste B
Dewey, AZ 86327-4569
Phone
(928) 772-1673
Fax
(928) 772-1674
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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 AP7334 AZ Primary

Addresses

Primary practice location

12075 E State Route 69 Ste B
Dewey, AZ 86327-4569

Mailing address

12075 E State Route 69 Ste B
Dewey, AZ 86327-4569
Phone (928) 772-1673

Other names 1

  • Lindsey M Waltman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160414000904 AZ Practitioner - Nurse Practitioner 5294033841 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7334AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family CurrentSince Nov 1, 2023 Accepting new patients
Sundance Medical Associates PLLC PastSince Oct 29, 2023 Accepting new patients

Locations

12075 E State Route 69
Dewey, AZ 86327
Phone (928) 404-1488

3336 E Chandler Heights Rd
Gilbert, AZ 85298
Phone (480) 813-3636

12075 E State Route 69
Ste B
Prescott Valley, AZ 86327
Phone (928) 772-1673

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

3251 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2582

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.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1104285253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12075 E STATE ROUTE 69 STE B",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863274569",
            "telephone_number": "928-772-1673",
            "fax_number": "928-772-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12075 E STATE ROUTE 69 STE B",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863274569",
            "telephone_number": "928-772-1673",
            "fax_number": "928-772-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "LINDSEY",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "WALTMAN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dewey, AZ

Sources for this page

Verify at the official NPI Registry.