Individual provider Active NPI

Lindy A. Lincks, RN, ANP, NP

  • Adult Health Nurse Practitioner
  • Ledbetter, TX
National Provider Identifier
1508954777
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
582602 Issued in TX
Practice address
5414 FM 180
Ledbetter, TX 78946-7066
Phone
(832) 317-1651
Fax
(833) 970-0942
NPI assigned
Oct 11, 2006
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 582602 TX
Adult Health Nurse Practitioner 363LA2200X 582602 TX Primary

Addresses

Primary practice location

5414 FM 180
Ledbetter, TX 78946-7066

Mailing address

5414 FM 180
Ledbetter, TX 78946-7066
Phone (979) 803-0185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627001464 TX Practitioner - Nurse Practitioner 7214972413 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
582602TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foster Behavioral Healthcare LLC CurrentSince Apr 9, 2020 Accepting new patients

Locations

12148 Almeda Rd
Unit 1
Houston, TX 77045
Phone (713) 413-1844

Organizations & group practices 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1508954777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 FM 180",
            "city": "LEDBETTER",
            "state": "TX",
            "postal_code": "789467066",
            "telephone_number": "979-803-0185",
            "fax_number": "833-970-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5414 FM 180",
            "city": "LEDBETTER",
            "state": "TX",
            "postal_code": "789467066",
            "telephone_number": "832-317-1651",
            "fax_number": "833-970-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCKS",
        "first_name": "LINDY",
        "middle_name": "A.",
        "credential": "RN, ANP, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "582602",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "582602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ledbetter, TX

Sources for this page

Verify at the official NPI Registry.