Individual provider Active NPI

Lindsey Lee Everett

  • Physician Assistant
  • Santa Cruz, CA
National Provider Identifier
1902410632
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58827 Issued in CA
Practice address
1662 Dominican Way
Santa Cruz, CA 95065-1522
Phone
(831) 460-7350
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 58827 CA Primary

Addresses

Primary practice location

1662 Dominican Way
Santa Cruz, CA 95065-1522

Mailing address

1662 Dominican Way
Santa Cruz, CA 95065-1522
Phone (831) 460-7350

Other practice location 1

1119 Pacific Ave Ste 200
Santa Cruz, CA 95060-4464
Phone (831) 426-5550

Other practice location 2

835 Ivy Meadow Ln Apt 3F
Durham, NC 27707-5903
Phone (805) 452-1172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20210114002358 CA Practitioner - Physician Assistant 2860805678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

1662 Dominican Way
Santa Cruz, CA 95065-1522
Phone (831) 458-6295

550 S Green Valley Rd
Watsonville, CA 95076-3053
Phone (831) 458-5865

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc CurrentSince Jan 4, 2021 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 24, 2023 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 24, 2023 Accepting new patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Dignity Health Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

1662 Dominican Way
Santa Cruz, CA 95065
Phone (408) 475-1100

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

625 Hilby Ave
Seaside, CA 93955
Phone (831) 394-1691

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

398 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 724-7525

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: leverett595607@hisp.ehr.sutterhealth.org

Organizations & group practices 9

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1902410632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651522",
            "telephone_number": "831-460-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651522",
            "telephone_number": "831-460-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 Pacific Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604464",
            "country_code": "US",
            "telephone_number": "831-426-5550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Ivy Meadow Ln Apt 3F",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277075903",
            "country_code": "US",
            "telephone_number": "805-452-1172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "LINDSEY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.