Individual provider Active NPI

Lindsay Wood

  • Nurse Practitioner
  • Clermont, FL
National Provider Identifier
1609484609
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11008891 Issued in FL
Practice address
1950 Hospital View Way
Clermont, FL 34711-1926
Phone
(352) 243-3443
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 F07200141 FL
Nurse Practitioner 363L00000X 11008891 FL Primary

Addresses

Primary practice location

1950 Hospital View Way
Clermont, FL 34711-1926

Mailing address

537 Kistler Cir
Clermont, FL 34715-0008
Phone (813) 293-2427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210205001143 FL Practitioner - Nurse Practitioner 7214341031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
South Lake Medical Center IncGroup PAC ID 2264521749, 6 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

2741 Citrus Tower Blvd
Clermont, FL 34711-6699
Phone (352) 243-3443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11008891FLMDNurse Practitioner
F07200141FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Lake Medical Center Inc CurrentSince Feb 2, 2021 Accepting new patients

Locations

2741 Citrus Tower Blvd
Clermont, FL 34711
Phone (352) 717-0613

1950 Hospital View Way
Clermont, FL 34711
Phone (321) 274-1864

255 Citrus Tower Blvd
Ste 206
Clermont, FL 34711
Phone (352) 242-9600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFJDAA

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1609484609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 KISTLER CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347150008",
            "telephone_number": "813-293-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 HOSPITAL VIEW WAY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111926",
            "telephone_number": "352-243-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "LINDSAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "F07200141",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11008891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.