Active NPI
Lindsey Hughes, PMHNP-BC
- Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
- Santa Clara, CA
National Provider Identifier
1730702671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
- License
- NP95016351
- Practice address
- 4633 Old Ironsides Dr Ste 304
Santa Clara, CA 95054-1846 - Phone
- (323) 205-7088
- Fax
- (833) 419-0181
- NPI assigned
- May 27, 2020
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0813X | NP95016351 | CA | Primary |
Addresses
Primary practice location
4633 Old Ironsides Dr Ste 304
Santa Clara, CA 95054-1846
Mailing address
4633 Old Ironsides Dr Ste 304
Santa Clara, CA 95054-1846
Phone (323) 205-7088
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 |
|---|---|---|---|
| NP95016351 | CA | MD | Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sud Specialty Group - Ca | Current | Accepting new patients | |
| Well Coast Psychiatric Inc. a Nursing Corp | Past | Accepting new patients |
Locations
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
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 and National Provider Directory roles.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
-
- Psychiatry Physician
- Tigard, OR
- NPI 1841784725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1730702671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4633 OLD IRONSIDES DR STE 304",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541846",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4633 OLD IRONSIDES DR STE 304",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950541846",
"telephone_number": "323-205-7088",
"fax_number": "833-419-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "LINDSEY",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SP0813X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
"state": "CA",
"license": "NP95016351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.