Organization Active NPI

Lindsey Nielsen- Advanced Registered Nursing Practitioner, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Modesto, CA
National Provider Identifier
1336063593
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LINDSEY NIELSEN- ADVANCED REGISTERED NURSING PRACTITIONER, INC
Practice address
615 13TH St Ste B10
Modesto, CA 95354-2456
Phone
(209) 402-4427
NPI assigned
Aug 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Lindsey Nielsen, PMHNP
Title
Pmhnp
Phone
(209) 200-8380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

615 13TH St Ste B10
Modesto, CA 95354-2456

Mailing address

410 E Rockingham St
Elkton, VA 22827-1508
Phone (209) 402-4427

Other names 1

  • Inner Grove Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

615 13th St
Ste B10
Modesto, CA 95354

NPI Registry JSON

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

{
    "created_epoch": "1786147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1336063593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E ROCKINGHAM ST",
            "city": "ELKTON",
            "state": "VA",
            "postal_code": "228271508",
            "telephone_number": "209-402-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 13TH ST STE B10",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542456",
            "telephone_number": "209-402-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSEY NIELSEN- ADVANCED REGISTERED NURSING PRACTITIONER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-08",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "209-200-8380",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Grove Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.