Individual provider Active NPI

Lindsay Irace Predmore, FNP-C

  • Family Nurse Practitioner
  • Largo, FL
National Provider Identifier
1134638604
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9347818 Issued in FL
Practice address
13425 Belcher Rd S
Largo, FL 33771-4009
Phone
(727) 223-9610
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 ARNP9347818 FL Primary

Addresses

Primary practice location

13425 Belcher Rd S
Largo, FL 33771-4009

Mailing address

13425 Belcher Rd S
Largo, FL 33771-4009
Phone (727) 223-9610

Other practice location 1

6900 40th Ln N
Pinellas Park, FL 33781-6179
Phone (727) 657-9015

Other practice location 2

1200 7th Ave N
St Petersburg, FL 33705-1300
Phone (727) 954-0671

Other names 1

  • Lindsay Marie Irace Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20231221002399 TN Practitioner - Nurse Practitioner 9133579899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

105 W Stone Dr
Kingsport, TN 37660-3365
Phone (423) 857-2793

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Hospital & facility affiliations

  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Wellmont Bristol Regional Medical Center Hospital, Bristol, TN, CCN 440012

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9347818FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Nov 13, 2023 Accepting new patients
Holston Medical Group PC CurrentSince Sep 10, 2025 Accepting new patients
Total Health & Wellness PLLC CurrentSince Mar 5, 2024 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

801 E Watauga Ave
Ste 2
Johnson City, TN 37601
Phone (423) 773-0300

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

105 W Stone Dr
Ste 1J
Kingsport, TN 37660
Phone (423) 378-7654

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 3

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 2

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": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134638604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714009",
            "telephone_number": "727-223-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 BELCHER RD S",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337714009",
            "telephone_number": "727-223-9610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 40th Ln N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337816179",
            "country_code": "US",
            "telephone_number": "727-657-9015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 7th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051300",
            "country_code": "US",
            "telephone_number": "727-954-0671",
            "fax_number": "727-825-1354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREDMORE",
        "first_name": "LINDSAY",
        "middle_name": "IRACE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9347818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "IRACE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.