Individual provider Active NPI

Linda Ann Lindsay, A.R.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Odessa, FL
National Provider Identifier
1467480889
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN3409332 Issued in FL
Practice address
18422 Dakota Rd
Odessa, FL 33556-5618
Phone
(813) 852-5993
Fax
(877) 991-8707
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP3409332 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN3409332 FL Primary

Addresses

Primary practice location

18422 Dakota Rd
Odessa, FL 33556-5618

Mailing address

18422 Dakota Rd
Odessa, FL 33556-5618
Phone (813) 310-6007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070427000428 FL Practitioner - Nurse Practitioner 4587760111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP3409332FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L L Nurse Practitioner Consutling LLC LL Aesthethics LLC Psychiatric/Mental Health CurrentSince Dec 22, 2019 Accepting new patients

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1467480889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18422 DAKOTA RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565618",
            "telephone_number": "813-310-6007",
            "fax_number": "877-991-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18422 DAKOTA RD",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335565618",
            "telephone_number": "813-852-5993",
            "fax_number": "877-991-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3409332",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN3409332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, FL

Sources for this page

Verify at the official NPI Registry.