Active NPI
Lindsey Kirsten Anderson, DNP, APRN, FNP-BC
- Nurse Practitioner
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A189654
- Practice address
- 5107 Utica Ridge Rd
Davenport, IA 52807-3062 - Phone
- (319) 337-8329
- Fax
- (319) 337-8692
- NPI assigned
- Nov 20, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A189654 | IA | Primary |
| Family Nurse Practitioner | 363LF0000X | 209034001 | IL |
Addresses
Primary practice location
5107 Utica Ridge Rd
Davenport, IA 52807-3062
Mailing address
1900 James St Ste 1
Coralville, IA 52241-1895
Phone (319) 337-8329
Other practice location 1
1900 James St Ste 1
Coralville, IA 52241-1895
Phone (319) 337-8329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260429003370 | IA | Practitioner - Nurse Practitioner | 1759858566 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Corridor Ketamine LLC
Practice addresses (Care Compare)
1900 James St
Suite 1
Coralville, IA 52241-1895
Phone (319) 337-8329
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A189654 | IA | MD | Nurse Practitioner |
| 209034001 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corridor Ketamine LLC | Family | Current | Accepting new patients |
Locations
1900 James St
Ste 1
Coralville, IA 52241
Phone (319) 337-8329
5107 Utica Ridge Rd
Davenport, IA 52807
Phone (319) 337-8329
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- Coralville, IA
- NPI 1356099154
Family, IA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1467313148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 JAMES ST STE 1",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522411895",
"telephone_number": "319-337-8329",
"fax_number": "319-337-8692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5107 UTICA RIDGE RD",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073062",
"telephone_number": "319-337-8329",
"fax_number": "319-337-8692"
}
],
"practiceLocations": [
{
"address_1": "1900 James St Ste 1",
"address_purpose": "LOCATION",
"city": "Coralville",
"state": "IA",
"postal_code": "522411895",
"country_code": "US",
"telephone_number": "319-337-8329",
"fax_number": "319-337-8692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "LINDSEY",
"middle_name": "KIRSTEN",
"credential": "DNP, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-20",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A189654",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209034001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.