Individual provider Active NPI

Lindsie Kelso, CNP

  • Family Medicine Physician
  • Double Oak, TX
National Provider Identifier
1336912435
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1156472 Issued in TX
Practice address
8501 FM 407
Double Oak, TX 75077-3031
Phone
(505) 934-0009
NPI assigned
Nov 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1156472 TX Primary
Primary Care Nurse Practitioner 363LP2300X 76561 NM

Addresses

Primary practice location

8501 FM 407
Double Oak, TX 75077-3031

Mailing address

2728 McKinnon St Apt 505
Dallas, TX 75201-1635
Phone (055) 934-0009

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
I20250527000618 TX Practitioner - Nurse Practitioner 0749709483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Emergency Physicians, PA 22 clinicians

Practice addresses (Care Compare)

8501 Justin Rd
Double Oak, TX 75077-3031
Phone (940) 784-7045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76561NMMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cottonwood Family Medicine LLC Current Accepting new patients
Cottonwood Home Health Care LLC Current Accepting new patients
LK Medical PLLC Primary Care CurrentSince Apr 1, 2025 Accepting new patients

Locations

5900 Balcones Dr
Ste 100
Austin, TX 78731

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1336912435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 MCKINNON ST APT 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011635",
            "telephone_number": "055-934-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 FM 407",
            "city": "DOUBLE OAK",
            "state": "TX",
            "postal_code": "750773031",
            "telephone_number": "505-934-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "LINDSIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1156472",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "76561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Double Oak, TX

Sources for this page

Verify at the official NPI Registry.