Individual provider Active NPI

Lindsey Dolezal Koach, DNP

  • Primary Care Nurse Practitioner
  • Franklin, NC
National Provider Identifier
1255007357
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5014876 Issued in NC
Practice address
1830 Lakeside Dr
Franklin, NC 28734-6778
Phone
(828) 349-2085
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5014876 NC Primary

Addresses

Primary practice location

1830 Lakeside Dr
Franklin, NC 28734-6778

Mailing address

PO Box 2428
Cashiers, NC 28717-2428

Other names 1

  • Lindsey Marie Dolezal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211201001108 NC Practitioner - Nurse Practitioner 7416347760 Reassigns benefits to 2 organizations
I20250630003133 ND Practitioner - Nurse Practitioner 7416347760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Win Dermatology PCGroup PAC ID 6901221597, 6 clinicians

Practice addresses (Care Compare)

30 7TH St W
Dickinson, ND 58601-4335
Phone (701) 501-8220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Dermatology PA CurrentSince May 19, 2023 Accepting new patients
WNC Internal Medicine, PLLC CurrentSince Sep 17, 2021 Accepting new patients
Skin Win Dermatology PC CurrentSince Feb 17, 2026 Accepting new patients
Only One Hub PastSince Sep 17, 2021 Accepting new patients

Locations

118 Holly Springs Park Dr
Franklin, NC 28734
Phone (828) 349-1551

209 Hospital Dr
Ste 302
Highlands, NC 28741
Phone (828) 526-1232

98 Cope Creek Rd
Sylva, NC 28779
Phone (828) 399-0134

3712 Lockport St
Ste B
Bismarck, ND 58503
Phone (701) 223-8873

30 7th St W
Dickinson, ND 58601
Phone (701) 264-4000

1350 20th Ave SW
Minot, ND 58701
Phone (701) 501-8220

1213 15th Ave W
Williston, ND 58801
Phone (701) 572-7641

1213 15th Ave W
Ste 102
Williston, ND 58801
Phone (701) 234-8860

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19372/brand/1/csg/1/fhir/r4
  • FHIR API: https://app.meldrx.com/api/fhir/ez_00276
  • Direct secure messaging: lkoa@highlands.emadirect.md

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1255007357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2428",
            "city": "CASHIERS",
            "state": "NC",
            "postal_code": "287172428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 LAKESIDE DR",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287346778",
            "telephone_number": "828-349-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOACH",
        "first_name": "LINDSEY",
        "middle_name": "DOLEZAL",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5014876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "DOLEZAL",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, NC

Sources for this page

Verify at the official NPI Registry.