Individual provider Active NPI

Lindsey Kopischke Buttweiler

  • Women's Health Nurse Practitioner
  • Alexandria, MN
National Provider Identifier
1457011389
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
8877 Issued in MN
Practice address
1103 Broadway St Ste 102
Alexandria, MN 56308-0015
Phone
(320) 314-3828
NPI assigned
Dec 20, 2021
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 8877 MN Primary

Addresses

Primary practice location

1103 Broadway St Ste 102
Alexandria, MN 56308-0015

Mailing address

1103 Broadway St Ste 102
Alexandria, MN 56308-0015
Phone (320) 491-7391

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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8877MNMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: lindsey.buttweiler@231645870227460.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1457011389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 BROADWAY ST STE 102",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563080015",
            "telephone_number": "320-491-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 BROADWAY ST STE 102",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563080015",
            "telephone_number": "320-314-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTWEILER",
        "first_name": "LINDSEY",
        "middle_name": "KOPISCHKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "8877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

Verify at the official NPI Registry.