Active NPI
Lyndsay Anne Sullivan, DNP, APRN, FNP-C
- Family Nurse Practitioner
- Redondo Beach, CA
National Provider Identifier
1194544171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95030446
- Practice address
- 308 Paseo de la Playa Apt 8
Redondo Beach, CA 90277-6251 - Phone
- (480) 689-0756
- NPI assigned
- Oct 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95030446 | CA | Primary |
Addresses
Primary practice location
308 Paseo de la Playa Apt 8
Redondo Beach, CA 90277-6251
Mailing address
308 Paseo de la Playa Apt 8
Redondo Beach, CA 90277-6251
Other names 1
- Dr. Lyndsay Anne Thomasson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95030446 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1194544171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 PASEO DE LA PLAYA APT 8",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902776251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 PASEO DE LA PLAYA APT 8",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902776251",
"telephone_number": "480-689-0756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "LYNDSAY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DNP, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95030446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNDSAY",
"last_name": "THOMASSON",
"middle_name": "ANNE",
"prefix": "DR.",
"credential": "DNP, APRN, FNP-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.