Individual provider Active NPI

Lindsey Burns Mashburn, M.D.

  • Obstetrics & Gynecology Physician
  • Cornelius, NC
National Provider Identifier
1770762007
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
128101 Issued in NC
Practice address
19453 W Catawba Ave
Suite a
Cornelius, NC 28031-4021
Phone
(704) 896-9912
Fax
(704) 896-9913
NPI assigned
Nov 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 128101 NC Primary

Addresses

Primary practice location

19453 W Catawba Ave
Suite a
Cornelius, NC 28031-4021

Mailing address

19453 W Catawba Ave
Suite a
Cornelius, NC 28031-4021
Phone (704) 896-9912

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lindsey.mashburn.1@14963.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090701000239 NC Practitioner - Obstetrics/Gynecology 7618028705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
128101NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Foot Clinic, PC PastSince Feb 1, 2017 Accepting new patients

Organizations & group practices 1

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1770762007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19453 W CATAWBA AVE",
            "address_2": "SUITE A",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314021",
            "telephone_number": "704-896-9912",
            "fax_number": "704-896-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19453 W CATAWBA AVE",
            "address_2": "SUITE A",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314021",
            "telephone_number": "704-896-9912",
            "fax_number": "704-896-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHBURN",
        "first_name": "LINDSEY",
        "middle_name": "BURNS",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "128101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindsey.mashburn.1@14963.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "19453 W Catawba Ave",
            "address_2": "Suite A",
            "city": "Cornelius",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280314021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.