Individual provider Active NPI

Lyndsey Jeanne Helen Clingersmith

  • Registered Nurse
  • Grand Island, NY
National Provider Identifier
1134473697
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
650029-1 Issued in NY
Practice address
1927 Marjorie Rd
Grand Island, NY 14072-2615
Phone
(716) 713-9003
NPI assigned
Nov 6, 2012
Last updated
Nov 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 650029-1 NY Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
650029-1NYMDRegistered Nurse
6500029-1NYMDNeonatal Intensive Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1134473697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1927 MARJORIE RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722615",
            "telephone_number": "716-713-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 MARJORIE RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722615",
            "telephone_number": "716-713-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINGERSMITH",
        "first_name": "LYNDSEY",
        "middle_name": "JEANNE HELEN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "650029-1",
            "primary": true
        },
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "NY",
            "license": "6500029-1",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NY",
            "license": "6500029-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.