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LYNDSAY DEMATTEO MSN APRN AGPCNP-C NPI 1346869583


NPI Information

NPI: 1346869583
Provider Name: LYNDSAY DEMATTEO, MSN, APRN, AGPCNP-C
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
345 BLACKSTONE BLVD
1ST FLOOR WELD BLDG
PROVIDENCE, RI
ZIP 02906
Phone: (401) 455-6402
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Lyndsay Dematteo, MSN, APRN, AGPCNP-C is a gerontology nurse practitioner in Providence, RI with 6 years of experience. Lyndsay Dematteo, MSN, APRN, AGPCNP-C NPI is 1346869583. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

345 BLACKSTONE BLVD
1ST FLOOR WELD BLDG
PROVIDENCE, RI
ZIP 02906-800
Phone: (401) 455-6402
Fax: (401) 455-6405

The NPI 1346869583 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2020 and was last updated on 12/17/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered Nurse153756CONNECTICUTNo
2363LG0600XNurse PractitionerGerontologyAG06200113CONNECTICUTNo
3363LG0600XNurse PractitionerGerontologyAPRN02654RHODE ISLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.