Individual provider Active NPI

Lindsay Rae Piet, PA-C

  • Medical Physician Assistant
  • Maitland, FL
National Provider Identifier
1922485473
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9108061 Issued in FL
Practice address
541 S Orlando Ave Ste 204
Maitland, FL 32751-5669
Phone
(407) 647-4008
Fax
(407) 647-3207
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108061 FL
Medical Physician Assistant 363AM0700X PA9108061 FL Primary

Addresses

Primary practice location

541 S Orlando Ave Ste 204
Maitland, FL 32751-5669

Mailing address

541 S Orlando Ave Ste 204
Maitland, FL 32751-5669
Phone (407) 647-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250625000172 FL Order and Referring Only - Physician Assistant 4981116019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winter Park Family Practice LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

541 S Orlando Ave
Ste 204
Maitland, FL 32751
Phone (407) 331-6423

Interoperability endpoints

  • Direct secure messaging: lindsay.piet@211268893868036.direct.elationemr.com

Organizations & group practices 1

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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1922485473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 S ORLANDO AVE STE 204",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515669",
            "telephone_number": "407-647-4008",
            "fax_number": "407-647-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 S ORLANDO AVE STE 204",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515669",
            "telephone_number": "407-647-4008",
            "fax_number": "407-647-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIET",
        "first_name": "LINDSAY",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108061",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.