Lindsay B Blackmon, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

46177 Issued in KY

Practice address

201 S 5TH St
Bardstown, KY 40004-1142

Phone

(502) 348-6309

Fax

(502) 348-2793

NPI assigned

Jun 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsey M Block Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Bardstown Primary Care, PLLC

  • Rural Health Clinic/Center
  • Bardstown, KY
  • NPI 1053305524

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership
• Bardstown Primary Care, PLLC

  • Rural Health Clinic/Center
  • Springfield, KY
  • NPI 1639654809

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

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.

• Bardstown Primary Care, PLLC

  • Rural Health Clinic/Center
  • Bardstown, KY
  • NPI 1053305524

  KY, Pediatrics

  Medicare reassignment NPD
• Bardstown Primary Care, PLLC

  • Rural Health Clinic/Center
  • Springfield, KY
  • NPI 1639654809
  NPD
• Flaget Healthcare, Inc

  • General Acute Care Hospital
  • Bardstown, KY
  • NPI 1871588772
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1982925004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S 5TH ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041142",
            "telephone_number": "502-348-6309",
            "fax_number": "502-348-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 5TH ST",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041142",
            "telephone_number": "502-348-6309",
            "fax_number": "502-348-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMON",
        "first_name": "LINDSAY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "46177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "BLOCK",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dalton Berry
• Bickett and Associates
• Robert Newman Bickett, PSY. D.
• Bio-Medical Applications of Kentucky, Inc.
• Joshua Dolphus Blackmon, DMD
• Pamela Gail Blaine, LMT
• Jessica Rae Blair, LMT
• Mary Angela Blair, MHA
• William Blake, PMHNP-BC
• Alyson Blandford, MS, OTR/L

• All providers in Bardstown, KY
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.