NPIMap

Individual provider Active NPI

Lindsay Ann Kindelman-Lande, FNP-B.C.

  • Family Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1689003691
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-RN-LIC-38944 Issued in MT
Practice address
2230 N Reserve St Ste 110
Missoula, MT 59808-1364
Phone
(406) 430-2035
NPI assigned
Nov 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-RN-LIC-38944 MT Primary

Addresses

Primary practice location

2230 N Reserve St Ste 110
Missoula, MT 59808-1364

Mailing address

2230 N Reserve St Ste 110
Missoula, MT 59808-1364
Phone (406) 964-4663

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindsay@greatergoodhealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140109001845 MT Practitioner - Nurse Practitioner 6901034305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Good Health PC IncGroup PAC ID 5294106027, 48 clinicians

Practice addresses (Care Compare)

2230 N Reserve St
Suite 110
Missoula, MT 59808-1364
Phone (310) 658-3775

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-38944MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Good Health PC, Inc. Current Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Greater Good Health PC Inc CurrentSince Oct 30, 2023 Accepting new patients
Providence Health & Services Mt CurrentSince Feb 22, 2016 Accepting new patients
Providence Health & Services Mt CurrentSince Feb 22, 2016 Accepting new patients
Greater Good Health PC, Inc. CurrentSince Oct 30, 2023 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Costcare, PLLC Past Accepting new patients

Locations

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

2230 N Reserve St
Ste 110
Missoula, MT 59808
Phone (310) 658-3775

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

Organizations & group practices 8

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 5

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": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1689003691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 N RESERVE ST STE 110",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081364",
            "telephone_number": "406-964-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 N RESERVE ST STE 110",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081364",
            "telephone_number": "406-430-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDELMAN-LANDE",
        "first_name": "LINDSAY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-11",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-RN-LIC-38944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindsay@greatergoodhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2230 N Reserve St Ste 110",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598081364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.