Individual provider Active NPI

Carolyn Dowling Lindau

  • Specialist
  • State College, PA
National Provider Identifier
1659061679
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8707391 Issued in PA
Practice address
1161 William St
State College, PA 16801-6310
Phone
(480) 363-4678
NPI assigned
May 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8707391 PA Primary

Addresses

Primary practice location

1161 William St
State College, PA 16801-6310

Mailing address

1161 William St
State College, PA 16801-6310
Phone (480) 363-4678

Other names 1

  • Carolyn Dowling 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8707391PAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1659061679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 WILLIAM ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016310",
            "telephone_number": "480-363-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 WILLIAM ST",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016310",
            "telephone_number": "480-363-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDAU",
        "first_name": "CAROLYN",
        "middle_name": "DOWLING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "8707391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "DOWLING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.