Individual provider Active NPI

Angela Jayne Lindsay, N.P.

  • Gerontology Nurse Practitioner
  • Mangonia Park, FL
National Provider Identifier
1194131714
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
30243 Issued in TN
Practice address
993 45TH St
Mangonia Park, FL 33407-2413
Phone
(561) 257-3348
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11014691 FL
Nurse Practitioner 363L00000X 4704272407 MI
Gerontology Nurse Practitioner 363LG0600X 30243 TN Primary

Addresses

Primary practice location

993 45TH St
Mangonia Park, FL 33407-2413

Mailing address

21800 Haggerty Rd
Ste 113
Northville, MI 48167-9051
Phone (248) 615-0777

Other practice location 1

20317 Farmington Rd
Livonia, MI 48152-1411
Phone (248) 615-0777

Other names 1

  • Angela Jayne Bartosh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220304001274 FL Practitioner - Nurse Practitioner 8820219728 Reassigns benefits to 1 organization
I20220309003275 TN Practitioner - Nurse Practitioner 8820219728

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Florida Inc CurrentSince Jun 15, 2022 Accepting new patients
Inpatient Consultants of Florida, Inc Nurse Practitioner CurrentSince Jun 15, 2022 Accepting new patients
The Weston Group Inc. Past Accepting new patients

Locations

4905 Park Ridge Blvd
Boynton Beach, FL 33426
Phone (561) 299-4164

4325 Southpoint Blvd
Jacksonville, FL 32216
Phone (904) 245-7620

2029 Professional Center Dr
Orange Park, FL 32073
Phone (570) 352-3063

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

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.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1194131714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 HAGGERTY RD",
            "address_2": "STE 113",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481679051",
            "telephone_number": "248-615-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 45TH ST",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072413",
            "telephone_number": "561-257-3348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20317 Farmington Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481521411",
            "country_code": "US",
            "telephone_number": "248-615-0777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "ANGELA",
        "middle_name": "JAYNE",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11014691",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704272407",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "30243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BARTOSH",
            "middle_name": "JAYNE",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mangonia Park, FL

Sources for this page

Verify at the official NPI Registry.