Individual provider Active NPI

Lindsay Ann Gargotto, PRACTICUM STUDENT

  • Student in an Organized Health Care Education/Training Program
  • Louisville, KY
National Provider Identifier
1225261316
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
603 Issued in KY
Practice address
2805 Wareham Rd
Louisville, KY 40242-4024
Phone
(502) 489-0956
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 603 KY Primary

Addresses

Primary practice location

2805 Wareham Rd
Louisville, KY 40242-4024

Mailing address

2805 Wareham Rd
Louisville, KY 40242-2445
Phone (502) 489-0956

Other names 1

  • Lindsay Works Former name

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

LicenseStateTypeSpecialty
603KYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1225261316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 WAREHAM RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402422445",
            "telephone_number": "502-489-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 WAREHAM RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402424024",
            "telephone_number": "502-489-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGOTTO",
        "first_name": "LINDSAY",
        "middle_name": "ANN",
        "credential": "PRACTICUM STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "KY",
            "license": "603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "WORKS",
            "credential": "RADIOLOGICAL TECH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.