Individual provider Active NPI

Lindsey Kirsten Anderson, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1467313148
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A189654 Issued in IA
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

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 2567857725, 8 clinicians

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

LicenseStateTypeSpecialty
A189654IAMDNurse Practitioner
209034001ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corridor Ketamine LLC Family CurrentSince Apr 1, 2026 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.

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

Verify at the official NPI Registry.