Individual provider Active NPI

Lindsey Heap Danielson, FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
National Provider Identifier
1881156826
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP141195 Issued in TX
Practice address
100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821
Phone
(936) 441-9680
Fax
(936) 539-9685
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2020

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 AP141195 TX Primary

Addresses

Primary practice location

100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821

Mailing address

100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821
Phone (936) 441-9680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20240118000148 TN Practitioner - Nurse Practitioner 6406277318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

1855 Medical Ctr Pkwy
Suite G
Murfreesboro, TN 37129-3859
Phone (629) 335-3826

318 Prosperity Dr
Knoxville, TN 37923-4710
Phone (865) 299-7525

410 N Parrish PL
Suite 3000
Hendersonville, TN 37075-1005
Phone (615) 590-9503

601 Grassmere Park
Suite 19
Nashville, TN 37211-3681
Phone (629) 240-1231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34135TNMDInternal Medicine Physician
AP141195TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC CurrentSince Jan 8, 2024 Accepting new patients
Innovative Infusions, LLC CurrentSince Jan 8, 2024 Accepting new patients
Innovative Infusions, LLC Past Accepting new patients

Locations

410 N Parrish Pl
Ste 3000
Hendersonville, TN 37075
Phone (615) 590-9503

318 Prosperity Dr
Knoxville, TN 37923
Phone (865) 299-7525

1855 Medical Center Pkwy
Ste G
Murfreesboro, TN 37129
Phone (629) 335-3826

601 Grassmere Park
Ste 19
Nashville, TN 37211
Phone (629) 240-1231

3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566

Organizations & group practices 3

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": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1881156826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "936-441-9680",
            "fax_number": "936-539-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER BLVD STE 200",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042821",
            "telephone_number": "936-441-9680",
            "fax_number": "936-539-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "LINDSEY",
        "middle_name": "HEAP",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.