Individual provider Active NPI

Lindsey Nicole Evans, FNP-C

  • Family Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1124789797
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017376 Issued in FL
Practice address
2600 Westhall LN
Maitland, FL 32751-7102
Phone
(603) 328-6268
NPI assigned
Jan 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9518132 FL
Family Nurse Practitioner 363LF0000X 11017376 FL Primary

Addresses

Primary practice location

2600 Westhall LN
Maitland, FL 32751-7102

Mailing address

6925 Ebb Tide Ave
Apollo Beach, FL 33572-1600
Phone (270) 860-9781

Other practice location 1

2 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 821-8038

Other identifiers 2

IdentifierTypeStateIssuer
113080300MedicaidFL
KTT0GOtherFLBCBS

Other names 1

  • Lindsey Nicole Heffington Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address levans248635@direct.tgh.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220126001289 FL Practitioner - Nurse Practitioner 9032501960 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Medical Service Association IncGroup PAC ID 6800790221, 818 clinicians

Practice addresses (Care Compare)

13330 Usf Laurel Dr
Tampa, FL 33612-6601

4001 E Fletcher Ave
Tampa, FL 33613-4808
Phone (813) 866-1600

4202 E Fowler Ave
Tampa, FL 33620-6750

Hospital & facility affiliations

  • Medical Services of America Home Health Home health agency, Tampa, FL, CCN 108040
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Tampa General Hospital Hospital, Tampa, FL, CCN 100128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9518132FLMDRegistered Nurse
11017376FLMDFamily Nurse Practitioner

Practice roles (13 of 14)

OrganizationSpecialtyStatusNew patients
Synergic Healthcare Solutions LLC CurrentSince Sep 1, 2022 Accepting new patients
Tampa General Hospital Current Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
University Medical Service Association Inc CurrentSince Aug 7, 2023 Accepting new patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Jan 18, 2022 Accepting new patients
Urgent Care Centers of Brevard County LLC Family CurrentSince Feb 3, 2022 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Sep 1, 2022 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
University Medical Service Association Inc CurrentSince Aug 7, 2023 Accepting new patients
Urgent Care Centers of Brevard County LLC Family CurrentSince Feb 3, 2022 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Jan 18, 2022 Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

2600 Westhall Ln
Maitland, FL 32751
Phone (407) 200-2273

13330 Usf Laurel Dr
Fl 3
Tampa, FL 33612
Phone (813) 396-9422

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

4001 E Fletcher Ave
Tampa, FL 33613
Phone (813) 866-1600

2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-8700

13330 Usf Laurel Dr
Tampa, FL 33612
Phone (813) 396-9478

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: levans248635@direct.tgh.org
  • Direct secure messaging: levans279010@direct.tgh.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

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": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1124789797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 EBB TIDE AVE",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721600",
            "telephone_number": "270-860-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 WESTHALL LN",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517102",
            "telephone_number": "603-328-6268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Tampa General Cir",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336063571",
            "country_code": "US",
            "telephone_number": "813-821-8038",
            "fax_number": "813-974-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9518132",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113080300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "KTT0G",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "levans248635@direct.tgh.org",
            "affiliation": "N",
            "address_1": "2 Tampa General Cir",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "HEFFINGTON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.