Individual provider Active NPI

Lindsey Kay Bourne, APRN

  • Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1144788068
Registry record updated Mar 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A006165 Issued in AR
Practice address
9600 Baptist Health Dr Ste 320
Little Rock, AR 72205-6322
Phone
(501) 227-0421
Fax
(501) 227-0105
NPI assigned
Mar 10, 2019
Last updated
Mar 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A006165 AR Primary

Addresses

Primary practice location

9600 Baptist Health Dr Ste 320
Little Rock, AR 72205-6322

Mailing address

9600 Baptist Health Dr Ste 320
Little Rock, AR 72205-6322
Phone (501) 227-0421

Other names 1

  • Lindsey Kay Vanwinkle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20200109001194 AR Practitioner - Nurse Practitioner 9335574912 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group CurrentSince Nov 3, 2019 Accepting new patients
Arkansas Health Group CurrentSince Nov 3, 2019 Accepting new patients

Locations

11001 Executive Center Dr
Little Rock, AR 72211
Phone (501) 812-7215

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9600 Baptist Health Dr
Ste 320
Little Rock, AR 72205

9601 Baptist Health Dr
Ste 250
Little Rock, AR 72205
Phone (501) 217-4910

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552176000000",
    "number": "1144788068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 BAPTIST HEALTH DR STE 320",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056322",
            "telephone_number": "501-227-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 BAPTIST HEALTH DR STE 320",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056322",
            "telephone_number": "501-227-0421",
            "fax_number": "501-227-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "LINDSEY",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-10",
        "last_updated": "2019-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A006165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "VANWINKLE",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.