Individual provider Active NPI

Lindsey Jo Fenstermaker, RN, BSN, CCRN

  • Registered Nurse
  • Arlington, WA
National Provider Identifier
1861815599
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00166011 Issued in WA
Practice address
10909 246TH St NE
Arlington, WA 98223-8108
Phone
(425) 870-9923
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00166011 WA Primary

Addresses

Primary practice location

10909 246TH St NE
Arlington, WA 98223-8108

Mailing address

10909 246TH St NE
Arlington, WA 98223-8108
Phone (425) 870-9923

Other identifiers 1

IdentifierTypeStateIssuer
599245OtherWAPAYEE NUMBER

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00166011WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1861815599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 246TH ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238108",
            "telephone_number": "425-870-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 246TH ST NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238108",
            "telephone_number": "425-870-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENSTERMAKER",
        "first_name": "LINDSEY",
        "middle_name": "JO",
        "credential": "RN, BSN, CCRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00166011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAYEE NUMBER",
            "identifier": "599245",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.