Lightstone Education Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LIGHTSTONE EDUCATION CENTER

Practice address

210 Professional CT Ste C
Lafayette, IN 47905-5231

Phone

(765) 237-9077

NPI assigned

Jan 25, 2021

Organization subpart

No

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

Authorized official

Name

Wauntesha Hardy, NPNPI 1518487677

Title

Owner

Phone

(765) 409-1723

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Wauntesha Hardy, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Lafayette, IN
  • NPI 1518487677
  NPD Authorized official

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1417547399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 COMMERCE DR # 440-190",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479053822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL CT STE C",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055231",
            "telephone_number": "765-237-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTSTONE EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "WAUNTESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-409-1723",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty Dialysis - Lafayette, LLC (Lafayette II)
• Rachel Michelle Lidy
• Lifespan Behavior Consulting
• Lifetime Dental Care of Indiana (South Street Family Dental)
• Lifetime Dental Care of Indiana, PC (Smiles Plus Dental Care Lafayette)
• Kok H Lim, MD
• Limestone Health, LLC (MedMark Treatment Centers LaFayette)
• Sailin Lin, PHARM. D
• Lincare Inc.
• Lincare Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.