Individual provider Active NPI

Lindsey Vandyke, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Mansfield, TX
National Provider Identifier
1871998880
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
R7919 Issued in TX
Practice address
1900 Matlock Rd Ste 304
Mansfield, TX 76063-4435
Phone
(817) 380-4880
Fax
(817) 788-8416
NPI assigned
Nov 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A13668 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X R7919 TX Primary

Addresses

Primary practice location

1900 Matlock Rd Ste 304
Mansfield, TX 76063-4435

Mailing address

1900 Matlock Rd Ste 304
Mansfield, TX 76063-4435
Phone (817) 380-4880

Other names 1

  • Lindsey Stannard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181015002105 TX Practitioner - Endocrinology 8426343427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1900 Matlock Rd
Suite 304
Mansfield, TX 76063-4435
Phone (817) 380-4880

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Ft Worth, TX, CCN 677132
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Medical City Arlington Hospital, Arlington, TX, CCN 450675

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A13668CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsey Vandyke, D.O. PLLC Endocrinology, Diabetes & Metabolism CurrentSince Jan 4, 2021 Accepting new patients

Locations

1900 Matlock Rd
Ste 304
Mansfield, TX 76063
Phone (469) 620-0222

Interoperability endpoints

  • Direct secure messaging: lindsey.vandyke@756622575009796.direct.elationemr.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1871998880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MATLOCK RD STE 304",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634435",
            "telephone_number": "817-380-4880",
            "fax_number": "817-788-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MATLOCK RD STE 304",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634435",
            "telephone_number": "817-380-4880",
            "fax_number": "817-788-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDYKE",
        "first_name": "LINDSEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A13668",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "R7919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "STANNARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.