Individual provider Active NPI

Debra Ann Lindsay, FNP-C

  • Family Nurse Practitioner
  • Lacey, WA
National Provider Identifier
1689032377
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP 60593300 Issued in WA
Practice address
5840 Balustrade Blvd SE
Lacey, WA 98513-5076
Phone
(360) 970-2267
NPI assigned
Feb 9, 2016
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 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 AP 60593300 WA Primary

Addresses

Primary practice location

5840 Balustrade Blvd SE
Lacey, WA 98513-5076

Mailing address

5840 Balustrade Blvd SE
Lacey, WA 98513-5076
Phone (360) 970-2267

Other names 1

  • Debra Ann Staggs Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20240116002713 WA Practitioner - Nurse Practitioner 6800248873 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP 60593300WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of Washington, Inc CurrentSince Jan 8, 2024 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1689032377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 BALUSTRADE BLVD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985135076",
            "telephone_number": "360-970-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 BALUSTRADE BLVD SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985135076",
            "telephone_number": "360-970-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2024-01-02",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP 60593300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "STAGGS",
            "middle_name": "ANN",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.