Individual provider Active NPI

Lyndsey Zajac

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1881131894
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006843A Issued in IN
Practice address
1701 Spring St
Suite B
Jeffersonville, IN 47130-2930
Phone
(812) 284-2273
Fax
(812) 284-2279
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71006843A IN Primary

Addresses

Primary practice location

1701 Spring St
Suite B
Jeffersonville, IN 47130-2930

Mailing address

1701 Spring St
Suite B
Jeffersonville, IN 47130-2930
Phone (812) 284-2273

Other identifiers 2

IdentifierTypeStateIssuer
000001075147OtherINANTHEM
300000766MedicaidIN

Other names 1

  • Miss Lyndsey Michelle Heavrin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170228000227 IN Practitioner - Nurse Practitioner 2961786587 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71006843AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC Current Accepting new patients
CNP Operating Co LLC CurrentSince Aug 16, 2023 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince May 1, 2023 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince May 1, 2023 Accepting new patients
PA Post Acute Services PC CurrentSince Mar 3, 2024 Accepting new patients
Transitions Health Network LLC Family Past Accepting new patients

Locations

14751 Carey Rd
Carmel, IN 46033
Phone (317) 575-2208

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

4301 N Walnut St
Muncie, IN 47303
Phone (765) 282-0053

Organizations & group practices 6

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": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1881131894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SPRING ST",
            "address_2": "SUITE B",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471302930",
            "telephone_number": "812-284-2273",
            "fax_number": "812-284-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SPRING ST",
            "address_2": "SUITE B",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471302930",
            "telephone_number": "812-284-2273",
            "fax_number": "812-284-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAJAC",
        "first_name": "LYNDSEY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006843A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001075147",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300000766",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDSEY",
            "last_name": "HEAVRIN",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.