Lindgren Functional Medicine

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LINDGREN FUNCTIONAL MEDICINE

Practice address

2593 Development Dr Ste 240
Green Bay, WI 54311-4287

Phone

(920) 737-1625

NPI assigned

Mar 8, 2024

Organization subpart

No

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

Authorized official

Name

Shannon Kanter, BSN, RN

Title

Clinic Manager

Phone

(920) 548-1967

Specialties & licenses 1

Addresses

Other names 1

• Lindgren Functional Medicine Former legal business name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Rene' Guns, FNP-BC

  • Family Nurse Practitioner
  • Green Bay, WI
  • NPI 1063821502
  NPD
• Ashley A Lukes, NP

  • Family Nurse Practitioner
  • Green Bay, WI
  • NPI 1407525561
  NPD

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1376301994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 DEVELOPMENT DR STE 240",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114287",
            "telephone_number": "920-737-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 DEVELOPMENT DR STE 240",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543114287",
            "telephone_number": "920-737-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDGREN FUNCTIONAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "KANTER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "920-548-1967",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lindgren Functional Medicine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lincare Inc
• Mitchell J Lind, PA-C
• Linda Schwallie LLC
• Maria D Linden, M.D.
• Steven Edward Linden, PHARMD
• Deanna L Lindner, CRNA
• Elizabeth Lindner, DPT
• Daniel J Linehan, MD
• Megan Harrison Linn, M.D.
• Ellen Linskens, PT

• Clinic/Center in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.