Individual provider Active NPI

Lindsay Dlugonski

  • Psychiatric/Mental Health Nurse Practitioner
  • Clinton, OK
National Provider Identifier
1124478193
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
75676 Issued in OK
Practice address
545 S. 30TH Street
Clinton, OK 73601
Phone
(580) 547-4087
Fax
(580) 275-2838
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 75676 OK Primary

Addresses

Primary practice location

545 S. 30TH Street
Clinton, OK 73601

Mailing address

P.O. Box 12
Clinton, OK 73601
Phone (580) 547-4087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241008002174 OK Practitioner - Nurse Practitioner 7416488960 Reassigns benefits to 1 organization
I20250414000070 NM Practitioner - Nurse Practitioner 7416488960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1016 E Rooselvelt Ave
Grants, NM 87020-2118

Hospital & facility affiliations

  • Cibola General Hospital Hospital, Grants, NM, CCN 321308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75676OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurocognitive Institute LLC Psychiatric/Mental Health CurrentSince Aug 20, 2024 Accepting new patients
Lindsay Brooke Dlugonski LLC CurrentSince Jun 21, 2022 Accepting new patients
Cibola General Hospital Corporation CurrentSince May 1, 2025 Accepting new patients
Life Psychiatric Clinic Clinton LLC PastSince May 4, 2025 Accepting new patients

Locations

111 Howard Blvd
Ste 205
Mt Arlington, NJ 07856
Phone (973) 600-0100

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

545 S 30th St
Clinton, OK 73601
Phone (580) 547-4087

3030 N West Expy
Ste 200166
Oklahoma City, OK 73112

Organizations & group practices 4

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1124478193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 12",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "73601",
            "telephone_number": "580-547-4087",
            "fax_number": "580-275-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 S. 30TH STREET",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "73601",
            "telephone_number": "580-547-4087",
            "fax_number": "580-275-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DLUGONSKI",
        "first_name": "LINDSAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "75676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OK

Sources for this page

Verify at the official NPI Registry.