Lyndsey Jean Sidle, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

650172-1 Issued in NY

Practice address

9 Library Street
Dryden, NY 13053

Phone

(607) 592-8514

NPI assigned

Feb 27, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lyndsey Jean Medeiros Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1164923959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 983",
            "city": "DRYDEN",
            "state": "NY",
            "postal_code": "130530983",
            "telephone_number": "607-592-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LIBRARY STREET",
            "city": "DRYDEN",
            "state": "NY",
            "postal_code": "13053",
            "telephone_number": "607-592-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDLE",
        "first_name": "LYNDSEY",
        "middle_name": "JEAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NY",
            "license": "650172-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDSEY",
            "last_name": "MEDEIROS",
            "middle_name": "JEAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Recckio, PHARMD.
• William C Rich Jr., OPTICIAN
• Nicole Alexandra Safer, LCSW
• Shari Teeslink Shapleigh, FNP
• Christian Francis Sidle, RN
• Howard Silcoff, M.D.
• Mason Michael Sopchak, DO
• Ellen Stelick, LMSW
• Rebecca Tillotson, PA
• Amy M Voorhees, ATC

• All providers in Dryden, NY
• Gerontology Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.