Active NPI
Karen Beth Lindo, PHYSICIAN ASSISTANT
- Physician Assistant
- Gainesville, FL
National Provider Identifier
1497852958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA3247
- Practice address
- 1601 SW Archer Rd
Gainesville, FL 32608-1135 - Phone
- (352) 548-6804
- Fax
- (352) 384-7752
- NPI assigned
- Sep 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3247 | FL | Primary |
Addresses
Primary practice location
1601 SW Archer Rd
Gainesville, FL 32608-1135
Mailing address
11606 NW 8TH LN
Gainesville, FL 32606-0408
Phone (352) 222-3929
Other practice location 1
4423 NW 6th Place
Suite A
Gainesville, FL 32607-6115
Phone (352) 377-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291933800 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1497852958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11606 NW 8TH LN",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326060408",
"telephone_number": "352-222-3929",
"fax_number": "352-384-7752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326081135",
"telephone_number": "352-548-6804",
"fax_number": "352-384-7752"
}
],
"practiceLocations": [
{
"address_1": "4423 NW 6th Place",
"address_2": "Suite A",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326076115",
"country_code": "US",
"telephone_number": "352-377-5600",
"fax_number": "352-377-0995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDO",
"first_name": "KAREN",
"middle_name": "BETH",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-19",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA3247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "291933800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.