MRS. LYNDI DAVIS (NPI# 1659917771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659917771 |
| Entity Type | Individual |
| Full Name | MRS. LYNDI DAVIS |
| Credential | NP |
| Practice Address |
3534 Brooklyn Ave Fort Wayne IN 46809-1361 |
| Practice Telephone | 2604785110 |
| Practice Fax Number | 2604785133 |
| Mailing Telephone | 2604785110 |
| Mailing Fax Number | 2604785133 |
| Enumeration Date | 2019-11-24 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71009631A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F08190482 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300034089 | 05 |
| Street Address |
3534 BROOKLYN AVE |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46809-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659362200 | Herbert K.j. Acker | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2005-11-02 |
| 1033752001 | Marion Melcher | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2019-10-23 |
| 1689104242 | Andrew Wieging | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2017-06-15 |
| 1871049981 | Mark Sexton | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2016-08-29 |
| 1710275664 | Lutheran Medical Group LLC | Durable Medical Equipment & Medical Supplies | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2011-07-13 |
| 1992090971 | Christopher A. Baltes | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2011-06-17 |
| 1982993309 | Shawn P. Lazoff | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2011-04-06 |
| 1578876785 | David S. Mohan | Family Medicine | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2010-07-16 |
| 1902068828 | Tara Marie Meyer | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2008-07-01 |
| 1356532667 | Crystal M Bourcier | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2007-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497038574 | Zachary L Roberts | Pharmacist | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2011-09-24 |
| 1679660278 | Kool Smiles In Ft. Wayne, PC | Dentist | 1852 Bluffton Road, Ft. Wayne, IN 46809 | 2006-10-06 |
| 1477512564 | Brian Thomas Raypole | Specialist/Technologist | 5050 N. Clinton Street, Fort Wayne, IN 46809 | 2006-03-20 |
| 1669016895 | Trinity Health Pharmacy Services, LLC | Pharmacy | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2019-10-31 |
| 1841573318 | Vicki Eileen Caccamo | Pharmacist | 6730 Bluffton Rd, Fort Wayne, IN 46809 | 2011-09-21 |
| 1265588404 | May R. Dahman | Specialist | 1733 Kinsmoor Ave, Fort Wayne, IN 46809-1025 | 2007-01-27 |
| 1134746209 | Laurel Schroeder | Occupational Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-07-06 |
| 1730793605 | Cody Craig | Physical Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-09-08 |
| 1952497166 | Ajay Joshi | Dentist | 1852 Bluffton Rd, Fort Wayne, IN 46809-1306 | 2006-10-05 |
| 1255855011 | Sahar Hameed | Dentist | 1852 Bluffton Rd, Fort Wayne, IN 46809-1306 | 2017-08-02 |
| Find all providers in zip 46809 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566397 | Stacey Renee Pulver | Nurse Practitioner | 13134 Hollow Oak Rd, Fort Wayne, IN 46845-2327 | 2020-10-22 |
| 1649878554 | Heather Ormiston-leclear | Nurse Practitioner | 3800 N Anthony Blvd # Cc1335, Fort Wayne, IN 46805-1430 | 2020-10-13 |
| 1669081618 | Carly Ann Nahrwold | Nurse Practitioner | 7025 Old Trail Rd # 9574, Fort Wayne, IN 46809-2713 | 2020-07-27 |
| 1932725942 | Health Essential LLC | Nurse Practitioner | 3030 Lake Ave Ste 14, Fort Wayne, IN 46805-5428 | 2020-06-25 |
| 1942824842 | Carissa Miller | Nurse Practitioner | 707 Rollingwood Ln, Fort Wayne, IN 46845-1088 | 2020-06-05 |
| 1891329819 | Jasmine Monae Tubbs | Nurse Practitioner | 875 Petal Way, Fort Wayne, IN 46816-8900 | 2020-02-28 |
| 1235780362 | Elizabeth Rose Lichtsinn | Nurse Practitioner | 3919 W Jefferson Blvd Ste 200, Fort Wayne, IN 46804-6811 | 2019-09-20 |
| 1033676275 | Amanda Warner | Nurse Practitioner | 2229 Woods Rd, Fort Wayne, IN 46818-9539 | 2019-02-25 |
| 1669940714 | Brookelyn Agler | Nurse Practitioner | Summit Radiology, PC, 5001 Us Highway 30 W, Suite D, Fort Wayne, IN 46818-9701 | 2018-11-07 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46809 |
Please comment or provide details below to improve the information on MRS. LYNDI DAVIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.