Lindsey Jayne Mottern, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2023019174 Issued in CA

Practice address

261 El Camino Real Unit 1111
San Carlos, CA 94070-2478

Phone

(863) 581-2153

NPI assigned

Aug 28, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1821873126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 EL CAMINO REAL UNIT 1111",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702478",
            "telephone_number": "863-581-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 EL CAMINO REAL UNIT 1111",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702478",
            "telephone_number": "863-581-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTERN",
        "first_name": "LINDSEY",
        "middle_name": "JAYNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2023019174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Kwock Moore, O.D.
• Ruby Argelia Morales
• Ruby Moreno
• Brianna Morris, P.A.
• Tamberly Mott, MA., MFT
• Christie K Moua, MD
• William A Moya, ASW
• Anna Lee Mraz, PHD
• Luz Alexandra Munevar
• Leslie Rubi Munoz

• Family Nurse Practitioner in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.