Lyndsey Jeanne Helen Clingersmith
Individual provider Active NPI Registered Nurse · Grand Island, NY
NPI 1134473697 · NPPES record last updated Nov 6, 2012
Key facts
- NPI
- 1134473697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 650029-1 (NY)
- Practice address
- 1927 Marjorie Rd
Grand Island, NY 14072-2615 - Phone
- (716) 713-9003
- NPI assigned
- Nov 6, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 650029-1 | NY | MD | Registered Nurse |
| 6500029-1 | NY | MD | Neonatal Intensive Care Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 650029-1 | NY | Yes |
| Peritoneal Dialysis Registered Nurse | 163WD1100X | 6500029-1 | NY | |
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 6500029-1 | NY |
Addresses
Primary practice location
1927 Marjorie Rd
Grand Island, NY 14072-2615
Mailing address
1927 Marjorie Rd
Grand Island, NY 14072-2615
Phone (716) 713-9003
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All providers in Grand Island, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.