Active NPI
Autumn Lindsay, MD, LPN
- Pediatrics Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301511761
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-5710
- NPI assigned
- Aug 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703118320 | MI | |
| Licensed Vocational Nurse | 164X00000X | 4703118320 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 4301511761 | MI | Primary |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-5710
Other practice location 1
2766 W 11 Mile Rd Ste 2
Berkley, MI 48072-3033
Phone (248) 542-5621
Other practice location 2
2213 Franklin Ave
Toledo, OH 43620-1402
Phone (419) 251-2415
Other practice location 3
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Phone (248) 436-4365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703118320 | MI | MD | Licensed Vocational Nurse |
| 4301511761 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W.a. Foote Memorial Hospital, Inc | Pediatrics | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| W. a. Foote Memorial Hospital, Inc. | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital | Past | Accepting new patients |
Locations
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
760 W Franklin St
Jackson, MI 49201
Phone (517) 205-1461
Interoperability endpoints
- alindsay1016337@direct.hfhs.org
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 and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jackson, MI
- NPI 1326078866
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
-
- Pediatrics Physician
- Jackson, MI
- NPI 1891232740
-
- General Acute Care Hospital
- Jackson, MI
- NPI 1053403402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1376069682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N EAST AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011753",
"telephone_number": "517-205-5710"
}
],
"practiceLocations": [
{
"address_1": "2766 W 11 Mile Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Berkley",
"state": "MI",
"postal_code": "480723033",
"country_code": "US",
"telephone_number": "248-542-5621",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2213 Franklin Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436201402",
"country_code": "US",
"telephone_number": "419-251-2415",
"fax_number": "419-251-2422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27777 Inkster Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483345312",
"country_code": "US",
"telephone_number": "248-436-4365",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDSAY",
"first_name": "AUTUMN",
"credential": "MD, LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703118320",
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "MI",
"license": "4703118320",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301511761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.