Individual provider Active NPI

Lindsey Ann Londono, APRN

  • Nurse Practitioner
  • Ormond Beach, FL
National Provider Identifier
1205462256
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11005595 Issued in FL
Practice address
1063 Roberts St
Ormond Beach, FL 32174-3318
Phone
(386) 675-5006
NPI assigned
Mar 20, 2020
Last updated
Mar 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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 11005595 FL Primary

Addresses

Primary practice location

1063 Roberts St
Ormond Beach, FL 32174-3318

Mailing address

1063 Roberts St
Ormond Beach, FL 32174-3318
Phone (386) 675-5006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210329001609 FL Practitioner - Nurse Practitioner 9335556885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HN Ucc LLCGroup PAC ID 8426454489, 10 clinicians

Practice addresses (Care Compare)

2090 Saxon Blvd
Deltona, FL 32725-3251
Phone (386) 845-5452

3048 S Atlantic Ave
Daytona Beach, FL 32118-6102
Phone (386) 845-5450

5440 S Williamson Blvd
Port Orange, FL 32128-7422
Phone (386) 845-5451

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005595FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HN Ucc LLC CurrentSince Jul 5, 2022 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Mar 25, 2021 Accepting new patients
Sma Healthcare, Inc CurrentSince Dec 6, 2021 Accepting new patients
Sma Healthcare Inc CurrentSince Dec 6, 2021 Accepting new patients

Locations

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

420 Stadium Rd
Daytona Beach, FL 32114
Phone (386) 254-1149

2090 Saxon Blvd
Deltona, FL 32725
Phone (386) 845-5452

3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800

Organizations & group practices 4

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1205462256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 ROBERTS ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743318",
            "telephone_number": "386-675-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 ROBERTS ST",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743318",
            "telephone_number": "386-675-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDONO",
        "first_name": "LINDSEY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11005595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

Verify at the official NPI Registry.