Individual provider Active NPI

Marlene Veronica Lindsay, ARNP

  • Adult Health Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1336163823
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
281042 Issued in FL
Practice address
4804 Edgewater Dr Ste a
Orlando, FL 32804-1126
Phone
(407) 574-2121
Fax
(321) 697-7000
NPI assigned
Jul 27, 2006
Last updated
Dec 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 281042 FL Primary

Addresses

Primary practice location

4804 Edgewater Dr Ste a
Orlando, FL 32804-1126

Mailing address

4804 Edgewater Dr Ste a
Orlando, FL 32804-1126
Phone (407) 468-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060118000148 FL Practitioner - Nurse Practitioner 5799709721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Living Florida Healthcare LLCGroup PAC ID 2365787439, 2 clinicians

Practice addresses (Care Compare)

4804 Edgewater Dr
Suite a
Orlando, FL 32804-1126
Phone (407) 574-2121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281042FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Living Florida Healthcare LLC CurrentSince Sep 5, 2018 Accepting new patients
Managed Healthy Living Inc CurrentSince Sep 13, 2021 Accepting new patients

Locations

4804 Edgewater Dr
Orlando, FL 32804
Phone (321) 330-9330

4804 Edgewater Dr
Ste A
Orlando, FL 32804
Phone (407) 574-2121

Interoperability endpoints

  • Direct secure messaging: livingfloridahealthcarellc.marlenelindsay@140486.advancedmd-direct.com

Organizations & group practices 2

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 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1336163823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 EDGEWATER DR STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041126",
            "telephone_number": "407-468-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 EDGEWATER DR STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041126",
            "telephone_number": "407-574-2121",
            "fax_number": "321-697-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "MARLENE",
        "middle_name": "VERONICA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "281042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.