Individual provider Active NPI

Lindsey Hernandez, RN

  • Primary Care Nurse Practitioner
  • Provo, UT
National Provider Identifier
1538917554
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11013676-4405 Issued in UT
Practice address
589 S State St
Provo, UT 84606-5056
Phone
(385) 250-5809
NPI assigned
May 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 11013676-3102 UT
Primary Care Nurse Practitioner 363LP2300X 11013676-4405 UT Primary

Addresses

Primary practice location

589 S State St
Provo, UT 84606-5056

Mailing address

2723 N 425 W
Lehi, UT 84043-3393
Phone (385) 250-5809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20250310001988 UT Practitioner - Nurse Practitioner 4688195464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

589 S State St
Provo, UT 84606-5056
Phone (801) 429-2000

910 E 100
Suite 155
Payson, UT 84651-1638
Phone (801) 465-1890

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013676-3102UTMDCommunity Health Registered Nurse
11013676-4405UTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainlands Community Health Center, Inc Current Accepting new patients
Mountainlands Community Health Center, Inc CurrentSince Dec 22, 2024 Accepting new patients
Mountainlands Community Health Center, Inc. CurrentSince Dec 22, 2024 Accepting new patients

Locations

285 N 1250 E
Ste 103
Payson, UT 84651
Phone (801) 429-2000

589 S State St
Provo, UT 84606
Phone (801) 420-2000

Interoperability endpoints

  • Direct secure messaging: lindsey.hernandez.1@11721.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1538917554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 N 425 W",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433393",
            "telephone_number": "385-250-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 S STATE ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846065056",
            "telephone_number": "385-250-5809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "LINDSEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "UT",
            "license": "11013676-3102",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "11013676-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.