Active NPI
Lyndsie Nicole Bange, NP
- Family Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1689257255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-168624
- Practice address
- 140 Village St Ste 100
Birmingham, AL 35242-6436 - Phone
- (205) 980-1744
- Fax
- (205) 980-1334
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN268868 | GA | |
| Family Nurse Practitioner | 363LF0000X | 1-168624 | AL | Primary |
Addresses
Primary practice location
140 Village St Ste 100
Birmingham, AL 35242-6436
Mailing address
140 Village St Ste 100
Birmingham, AL 35242-6436
Phone (205) 980-1744
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-168624 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hedden Plastic Surgery | Current | Accepting new patients | |
| HGD, Inc | Past | Accepting new patients | |
| Truffles Vein of Central Georgia LLC | Past | Accepting new patients |
Locations
140 Village St
Ste 100
Birmingham, AL 35242
Phone (205) 415-7536
Organizations & group practices 3
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.
-
- Plastic Surgery Physician
- Birmingham, AL
- NPI 1215989306
-
- Dermatology Physician
- Mountain BRK, AL
- NPI 1902439417
-
- Vascular Specialist/Technologist Cardiovascular
- Powder Springs, GA
- NPI 1457100430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1689257255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 VILLAGE ST STE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352426436",
"telephone_number": "205-980-1744",
"fax_number": "205-980-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 VILLAGE ST STE 100",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352426436",
"telephone_number": "205-980-1744",
"fax_number": "205-980-1334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANGE",
"first_name": "LYNDSIE",
"middle_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN268868",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-168624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.