Active NPI
Lindsey Rapp Smith McIlvena, M.D.
- Public Health & General Preventive Medicine Physician
- Encinitas, CA
National Provider Identifier
1508186032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- A122450
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A122450 | CA | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gabbi Health Medical Group of California, PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
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- San Francisco, CA
- NPI 1285469346
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.