Individual provider Active NPI

Lindsay S Goethals, NP

  • Family Nurse Practitioner
  • Sunnyvale, TX
National Provider Identifier
1245259183
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP113972 Issued in TX
Practice address
490 US Highway 80 E Ste 200
Sunnyvale, TX 75182-9212
Phone
(972) 329-1996
Fax
(972) 329-0211
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP113972 TX Primary

Addresses

Primary practice location

490 US Highway 80 E Ste 200
Sunnyvale, TX 75182-9212

Mailing address

490 US Highway 80 E Ste 200
Sunnyvale, TX 75182-9212
Phone (972) 329-1996

Other identifiers 1

IdentifierTypeStateIssuer
173481601MedicaidTX

Other names 1

  • Lindsay S Eubank Former name

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians Group 1,364 clinicians

Practice addresses (Care Compare)

490 US Hwy 80 E
Suite 200
Sunnyvale, TX 75182-9220
Phone (972) 329-1996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050627001471 TX Practitioner - Nurse Practitioner 3577508779 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jan 4, 2011 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 4, 2011 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
Texas Health Physicians Group Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

490 US Highway 80 E
Ste 200
Sunnyvale, TX 75182
Phone (214) 377-1753

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: lgoethals88751@direct.texashealth.org

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1245259183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 US HIGHWAY 80 E STE 200",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829212",
            "telephone_number": "972-329-1996",
            "fax_number": "972-329-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 US HIGHWAY 80 E STE 200",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829212",
            "telephone_number": "972-329-1996",
            "fax_number": "972-329-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETHALS",
        "first_name": "LINDSAY",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173481601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "EUBANK",
            "middle_name": "S",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunnyvale, TX

Sources for this page

Verify at the official NPI Registry.