Active NPI
Kelly Lindquist, PA C
- Medical Physician Assistant
- Unionville, CT
National Provider Identifier
1467484022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001518
- Practice address
- 101 Main Street
Unionville, CT 06085 - Phone
- (860) 673-6124
- Fax
- (860) 673-3290
- NPI assigned
- Jul 6, 2006
- Last updated
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001518 | CT | Primary |
Addresses
Primary practice location
101 Main Street
Unionville, CT 06085
Mailing address
101 Main Street
Unionville, CT 06085
Phone (860) 673-6124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001518 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unionville Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15841/brand/1/csg/1/fhir/r4
- kelly.lindquist.1@15841.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Comprehensive Rehab Consultants LLC
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
CT
-
- Pediatrics Physician
- Unionville, CT
- NPI 1497748636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1467484022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MAIN STREET",
"city": "UNIONVILLE",
"state": "CT",
"postal_code": "06085",
"telephone_number": "860-673-6124",
"fax_number": "860-673-3290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MAIN STREET",
"city": "UNIONVILLE",
"state": "CT",
"postal_code": "06085",
"telephone_number": "860-673-6124",
"fax_number": "860-673-3290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDQUIST",
"first_name": "KELLY",
"credential": "PA C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "001518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Unionville, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.