Individual provider Active NPI

Lindsay Kay Kirkwood, FNP-C

  • Family Nurse Practitioner
  • Grapevine, TX
National Provider Identifier
1407573777
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1097484 Issued in TX
Practice address
2260 Pool Rd
Grapevine, TX 76051-4278
Phone
(817) 481-6342
Fax
(817) 416-7475
NPI assigned
Oct 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1097484 TX Primary

Addresses

Primary practice location

2260 Pool Rd
Grapevine, TX 76051-4278

Mailing address

2260 Pool Rd
Grapevine, TX 76051-4278
Phone (817) 481-6342

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL charmtracker.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 15, 2026 through Jan 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1097484TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1407573777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 POOL RD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514278",
            "telephone_number": "817-481-6342",
            "fax_number": "817-416-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 POOL RD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514278",
            "telephone_number": "817-481-6342",
            "fax_number": "817-416-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKWOOD",
        "first_name": "LINDSAY",
        "middle_name": "KAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1097484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "charmtracker.com",
            "affiliation": "N",
            "endpointDescription": "Charm EHR in the cloud",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical records access",
            "address_1": "2260 Pool Rd",
            "city": "Grapevine",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760514278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.