Amanda Lindsey, CPNP-AC

Key facts

NPI

1669845277

Entity type

Individual (NPI type 1)

Primary specialty

Critical Care Pediatric Nurse Practitioner 363LP0222X

License

9510012-4405 (UT)

Practice address

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Phone

(801) 662-6825

NPI assigned

Nov 4, 2015

Sex

Female

Sole proprietor

Yes

Organizations & group practices 4

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.

• Carlos G Otis Health Care Center Inc Rural Health Clinic/Center · Townshend, VT · NPI 1124049960
  Medicare reassignment Care Compare group NPD VT
• Carlos G. Otis Health Care Center Inc. Critical Access Hospital · Townshend, VT · NPI 1255337473
  Medicare reassignment Care Compare group NPD VT
• Carlos G Otis Health Care Center Inc Medicare Defined Swing Bed Hospital Unit · Townshend, VT · NPI 1093843328
  Care Compare group NPD
• Carlos G Otis Health Care Center Inc Community/Retail Pharmacy · Townshend, VT · NPI 1205930336
  Care Compare group

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Wayne State University School of Medicine, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Carlos G Otis Health Care Center Inc (46 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2023.

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1669845277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MARIO CAPECCHI DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MARIO CAPECCHI DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841131103",
            "telephone_number": "801-662-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "AMANDA",
        "credential": "CPNP-AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "UT",
            "license": "9510012-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

• Kansas Lindsay, CSW
• Kathleen K Lindsay, APRN, CPNP
• Patrice Lindsay, LCSW
• Weston A Lindsay, P.T., A.T., C.
• William Thomas Lindsay
• Chris Lindsey, PA-C
• Cindy Sue Lindsey
• Marissa Anne Lindsey
• Meagan Alyssa Lindstrom
• Shanna Lindstrom, LCSW

All providers in Salt Lake City, UT · Critical Care Pediatric Nurse Practitioner in Utah