Individual provider Active NPI

Kate Aileen Lindstadt, RN, NNP

  • Critical Care Neonatal Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1902245632
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
350328 Issued in NY
Practice address
50 Route 25a
Smithtown, NY 11787
Phone
(631) 444-7653
Fax
(631) 444-8968
NPI assigned
Jun 15, 2013
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 350328 NY
Critical Care Neonatal Nurse Practitioner 363LN0005X 350328 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402833 NY

Addresses

Primary practice location

50 Route 25a
Smithtown, NY 11787

Mailing address

PO Box 220
Kings Park, NY 11754-0220
Phone (631) 897-7094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130910000289 NY Practitioner - Nurse Practitioner 1052555281 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Willow Park Medical Health PCGroup PAC ID 3577085901, 10 clinicians

Practice addresses (Care Compare)

2 Dubon CT
Farmingdale, NY 11735-1031
Phone (631) 897-7094

565 Albany Ave
Amityville, NY 11701-1115
Phone (516) 474-8408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350328NYMDLicensed Practical Nurse
402833NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Park Medical Health PC CurrentSince Jun 10, 2025 Accepting new patients
Hope & Resilience LLC CurrentSince Jun 1, 2022 Accepting new patients
New York University CurrentSince Nov 6, 2022 Accepting new patients
New York University CurrentSince Nov 6, 2022 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. CurrentSince Feb 14, 2020 Accepting new patients
Brookhaven Memorial Hospital Medical Center, Inc. Current Accepting new patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Nov 18, 2019 Accepting new patients
Long Island Community Hospital at NYU Langone Health CurrentSince Feb 14, 2020 Accepting new patients
Willow Park Academy LLC PastSince Dec 14, 2025 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

2 Dubon Ct
Farmingdale, NY 11735
Phone (516) 830-0765

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

550 Montauk Hwy
Shirley, NY 11967
Phone (631) 852-1000

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1902245632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117540220",
            "telephone_number": "631-897-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROUTE 25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-444-7653",
            "fax_number": "631-444-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTADT",
        "first_name": "KATE",
        "middle_name": "AILEEN",
        "name_prefix": "Ms.",
        "credential": "RN, NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-15",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NY",
            "license": "350328",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NY",
            "license": "350328",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.