Individual provider Active NPI

Lindsay Katherine Garmon, CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Galesburg, IL
National Provider Identifier
1205608577
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209028600 Issued in IL
Practice address
2323 Windish Dr
Galesburg, IL 61401-9780
Phone
(309) 344-2323
NPI assigned
Oct 30, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209028600 IL Primary

Addresses

Primary practice location

2323 Windish Dr
Galesburg, IL 61401-9780

Mailing address

3808 W Vinton Ave
Peoria, IL 61615-2972
Phone (815) 245-6901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240311002530 IL Practitioner - Certified Clinical Nurse Specialist (CNS) 5799121919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridgeway IncGroup PAC ID 4284627530, 6 clinicians

Practice addresses (Care Compare)

1235 W Carl Sandburg Dr
Galesburg, IL 61401-9780
Phone (309) 344-6207

137 E College
Kewanee, IL 61443-3703
Phone (309) 852-4331

1974 Windish Dr
Galesburg, IL 61401-9780
Phone (309) 344-4751

2062 E 1St St
Galesburg, IL 61401-9780
Phone (309) 344-6420

2323 Windish Dr
Galesburg, IL 61401-9780
Phone (309) 344-2323

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209028600ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Inc CurrentSince Jan 30, 2024 Accepting new patients
Bridgeway Inc CurrentSince Jan 30, 2024 Accepting new patients
Bridgeway Inc. Past Accepting new patients

Locations

2323 Windish Dr
Galesburg, IL 61401
Phone (309) 344-2323

137 E College St
Kewanee, IL 61443
Phone (309) 852-4331

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1205608577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W VINTON AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152972",
            "telephone_number": "815-245-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 WINDISH DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614019780",
            "telephone_number": "309-344-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARMON",
        "first_name": "LINDSAY",
        "middle_name": "KATHERINE",
        "credential": "CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209028600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.