Individual provider Active NPI

Lindsay Allison Munden, FNP-BC

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1629301981
Registry record updated Mar 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28165546A Issued in IN
Practice address
951 Southpoint Cir Ste B
Valparaiso, IN 46385-6282
Phone
(219) 286-7121
NPI assigned
Sep 17, 2009
Last updated
Mar 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209008831 IL
Family Nurse Practitioner 363LF0000X 28165546A IN Primary

Addresses

Primary practice location

951 Southpoint Cir Ste B
Valparaiso, IN 46385-6282

Mailing address

314 W Sedgewood Dr
Valparaiso, IN 46385-0008
Phone (219) 405-3506

Other names 1

  • Ms. Lindsay Allison Jarosak Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
28165546AINMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647043200000",
    "number": "1629301981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W SEDGEWOOD DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463850008",
            "telephone_number": "219-405-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 SOUTHPOINT CIR STE B",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856282",
            "telephone_number": "219-286-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDEN",
        "first_name": "LINDSAY",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2022-03-12",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209008831",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28165546A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "JAROSAK",
            "middle_name": "ALLISON",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2022; 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.