Individual provider Active NPI

Lindsey Gouwens, PAC

  • Physician Assistant
  • Naperville, IL
National Provider Identifier
1194882993
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085002852 Issued in IL
Practice address
2940 Rollingridge Rd
Suite 102
Naperville, IL 60564-4231
Phone
(630) 579-6500
Fax
(630) 579-5860
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085002852 IL Primary

Addresses

Primary practice location

2940 Rollingridge Rd
Suite 102
Naperville, IL 60564-4231

Mailing address

2940 Rollingridge Rd
Suite 102
Naperville, IL 60564-4231
Phone (630) 579-6500

Other identifiers 1

IdentifierTypeStateIssuer
K40975OtherILMEDICARE PROVIDER NUMBER

Other names 1

  • Lindsey Cashman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgouwens122041@direct.edward.org Direct

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)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: lgouwens122041@direct.edward.org

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1194882993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 ROLLINGRIDGE RD",
            "address_2": "SUITE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644231",
            "telephone_number": "630-579-6500",
            "fax_number": "630-579-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 ROLLINGRIDGE RD",
            "address_2": "SUITE 102",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644231",
            "telephone_number": "630-579-6500",
            "fax_number": "630-579-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUWENS",
        "first_name": "LINDSEY",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085002852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "K40975",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgouwens122041@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "120 Spalding Dr Ste 207",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605406520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "CASHMAN",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.