Lindsay O'Sullivan, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704418623 Issued in MI

Practice address

4427 Venoy Rd
Wayne, MI 48184-1871

Phone

(734) 729-4436

NPI assigned

Jun 28, 2024

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  MI

  Medicare reassignment NPD

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1669217733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 ASTOR AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4427 VENOY RD",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841871",
            "telephone_number": "734-729-4436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 Astor Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481046144",
            "country_code": "US",
            "telephone_number": "630-272-6243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "LINDSAY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704418623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Normita Vicencio MD PC
• Haley Novak
• Kimberly S Novak
• Rebecca Nystrom, B.S
• Timothy Thaddeus O'Byrne, LBSW
• Oakwood Annapolis
• Oakwood Healthcare Group I, LLC
• Oakwood Healthcare Inc (Corewell Health Retail Pharmacy Wayne)
• Oakwood Healthcare Inc (Oakwood Annapolis Hospital)
• Oakwood Healthcare, Inc. (Beaumont Hospital - Wayne)

• Nurse Practitioner in Wayne, MI
• Providers in Wayne, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.