Individual provider Active NPI

Lindsay Caitlin Jackson-Tito, FNP-C

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1912516253
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95014977 Issued in CA
Practice address
7125 N Chestnut Ave Ste 106
Fresno, CA 93720-0358
Phone
(559) 325-3070
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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 95014977 CA Primary

Addresses

Primary practice location

7125 N Chestnut Ave Ste 106
Fresno, CA 93720-0358

Mailing address

7125 N Chestnut Ave Ste 106
Fresno, CA 93720-0358
Phone (559) 325-3070

Other practice location 1

3115 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 600-2382

Other practice location 2

685 W Alluvial Ave Ste 103
Fresno, CA 93711-5779
Phone (559) 499-1233

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
I20201215000979 CA Practitioner - Nurse Practitioner 7012329139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians

Practice addresses (Care Compare)

3034 E Herndon Ave
Horizon Health and Rehab
Fresno, CA 93720-0030
Phone (559) 499-1233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95014977CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Medical Group, Inc CurrentSince Jan 15, 2021 Accepting new patients
Fresno Community Hospital and Medical Center PastSince Jan 24, 2021 Accepting new patients

Locations

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

3034 E Herndon Ave
Fresno, CA 93720
Phone (559) 320-0883

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

Organizations & group practices 2

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1912516253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 N CHESTNUT AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200358",
            "telephone_number": "559-325-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 N CHESTNUT AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200358",
            "telephone_number": "559-325-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-600-2382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "685 W Alluvial Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937115779",
            "country_code": "US",
            "telephone_number": "559-499-1233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON-TITO",
        "first_name": "LINDSAY",
        "middle_name": "CAITLIN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.