Lindsey Carol Roberts, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71010891A Issued in IN

Practice address

3728 S Reed Rd
Kokomo, IN 46902-3829

Phone

(765) 626-7110

Fax

(765) 450-4495

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsey Carol Gilhousen Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cleanslate Medical Group of Indiana LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Alexandria, IN
  • NPI 1023464294
  Medicare reassignment NPD

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1336734938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "city": "KIRKLIN",
            "state": "IN",
            "postal_code": "460509044",
            "telephone_number": "317-764-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 S REED RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023829",
            "telephone_number": "765-626-7110",
            "fax_number": "765-450-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "LINDSEY",
        "middle_name": "CAROL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010891A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "GILHOUSEN",
            "middle_name": "CAROL",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Dawn Roark
• Robert a. Clements, D.C., P.C.
• Roberts Dental Group LLC
• Amanda Roberts, PMHNP
• Justin L Roberts, D.D.S.
• Paul Joseph Roberts, PH.D.
• Lori Annette Robertson, LCSW, LCAC
• James Robinson, RPT
• Makayla Lee Robison
• Madison Rodabaugh

• Nurse Practitioner in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.