Active NPI
Gregory Alan Lind, RN, MSN, ARNP
- Family Nurse Practitioner
- Lynnwood, WA
National Provider Identifier
1962495903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30001736
- Practice address
- 3501 Shelby Rd
Suite B
Lynnwood, WA 98087-3599 - Phone
- (425) 742-9119
- Fax
- (425) 787-1055
- NPI assigned
- Aug 24, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30001736 | WA | Primary |
| Registered Nurse | 163W00000X | RN00093420 | WA |
Addresses
Primary practice location
3501 Shelby Rd
Suite B
Lynnwood, WA 98087-3599
Mailing address
1001 2ND Ave W Apt 301
Seattle, WA 98119-3560
Phone (425) 348-5018
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00093420 | WA | MD | Registered Nurse |
| AP30001736 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1962495903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 2ND AVE W APT 301",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981193560",
"telephone_number": "425-348-5018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 SHELBY RD",
"address_2": "SUITE B",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980873599",
"telephone_number": "425-742-9119",
"fax_number": "425-787-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIND",
"first_name": "GREGORY",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "RN, MSN, ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30001736",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00093420",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.