Individual provider Active NPI

Lindsey Rapp Smith McIlvena, M.D.

  • Public Health & General Preventive Medicine Physician
  • Encinitas, CA
National Provider Identifier
1508186032
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
A122450 Issued in CA
Practice address
230 2ND St Ste 201
Encinitas, CA 92024-3275
Phone
(760) 652-9060
NPI assigned
Jun 7, 2010
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X A122450 CA Primary

Addresses

Primary practice location

230 2ND St Ste 201
Encinitas, CA 92024-3275

Mailing address

PO Box 558
Indianola, WA 98342-0558
Phone (206) 900-6434

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A122450CAMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gabbi Health Medical Group of California, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lindsey.mcilvena@493838767882244.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1508186032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "INDIANOLA",
            "state": "WA",
            "postal_code": "983420558",
            "telephone_number": "206-900-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 2ND ST STE 201",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243275",
            "telephone_number": "760-652-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILVENA",
        "first_name": "LINDSEY",
        "middle_name": "RAPP SMITH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2010-06-07",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A122450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.