Active NPI
Lindsay Edwards, APRN
- Primary Care Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1487439865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 11025142
- Practice address
- 6418 Commerce Park Dr
Fort Myers, FL 33966-4792 - Phone
- (239) 481-9999
- NPI assigned
- Aug 25, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 11025142 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | 11025142 | FL | Primary |
Addresses
Primary practice location
6418 Commerce Park Dr
Fort Myers, FL 33966-4792
Mailing address
843 Lagoon St
Fort Myers Beach, FL 33931-2113
Phone (815) 715-7155
Other names 1
- Lindsay Dullard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11025142 | FL | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- lindsay.edwards.p1@direct.ppswcf.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1487439865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "843 LAGOON ST",
"city": "FORT MYERS BEACH",
"state": "FL",
"postal_code": "339312113",
"telephone_number": "815-715-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6418 COMMERCE PARK DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339664792",
"telephone_number": "239-481-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "LINDSAY",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-25",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "FL",
"license": "11025142",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "11025142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "DULLARD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.