Individual provider Active NPI

Lyndsie Nicole Bange, NP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1689257255
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-168624 Issued in AL
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

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1-168624ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hedden Plastic Surgery CurrentSince Mar 17, 2024 Accepting new patients
HGD, Inc PastSince Mar 17, 2024 Accepting new patients
Truffles Vein of Central Georgia LLC PastSince Apr 1, 2021 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.

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.

Verify at the official NPI Registry.