Lindsay Mook, AGAC-NP -BC

Individual provider Active NPI Acute Care Nurse Practitioner · Wakefield, RI

NPI 1467995142 · NPPES record last updated Aug 7, 2017

Key facts

NPI
1467995142
Entity type
Individual (NPI type 1)
Primary specialty
Acute Care Nurse Practitioner 363LA2100X
License
CAPRN01458 (RI)
Practice address
82 Robinson St
Wakefield, RI 02879-3526
Phone
(401) 519-8939
Fax
(844) 897-4669
NPI assigned
Nov 29, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171009000646 RI Order and Referring Only - Nurse Practitioner 9436424041

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CAPRN01458RIMDAdult Health Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CAPRN01458 RI
Gerontology Nurse Practitioner 363LG0600X CAPRN01458 RI
Acute Care Nurse Practitioner 363LA2100X CAPRN01458 RI Yes

Addresses

Primary practice location

82 Robinson St
Wakefield, RI 02879-3526

Mailing address

82 Robinson St
Wakefield, RI 02879-3526
Phone (401) 519-8939

Other providers in Wakefield, RI

All providers in Wakefield, RI · Acute Care Nurse Practitioner in Rhode Island

Sources for this page

Verify at the official NPI Registry.