Active NPI
Andre Lindsey
- Speech-Language Pathologist
- Henderson, NV
National Provider Identifier
1912276304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-3054
- Practice address
- 1300 Nevada State Dr
Henderson, NV 89002-9776 - Phone
- (702) 992-2528
- NPI assigned
- Dec 14, 2011
- Last updated
- Jan 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-3054 | NV | Primary |
Addresses
Primary practice location
1300 Nevada State Dr
Henderson, NV 89002-9776
Mailing address
7411 Pacific Ave
Tacoma, WA 98408-7118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-3054 | NV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1912276304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7411 PACIFIC AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984087118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 NEVADA STATE DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890029776",
"telephone_number": "702-992-2528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSEY",
"first_name": "ANDRE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-14",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-3054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
- Taylor Shea Lindahl I
- Regina M Lindner, MFT
- Mary P Lindquist, CRNA
- Michelle Lindquist, MSW
- Lindsay L Wray PSYD Comprehensive Psychological Services PLLC (Insights Behavioral Health & wellness)
- Jenae Lindsey
- Anna-Joy Lingwood, FNP-BC, MSN
- Brian Jonathan Lipman, M.D.
- Evan Lipman, DMD
- Lori Hoffman Lipman, M.A., CCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.