Provider Demographics
NPI:1093029795
Name:HAYDE-SEXTON, LINDSEY H (CRNA)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:H
Last Name:HAYDE-SEXTON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:H
Other - Last Name:HAYDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1245 S CEDAR CREST BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6258
Mailing Address - Country:US
Mailing Address - Phone:610-402-9099
Mailing Address - Fax:610-402-9029
Practice Address - Street 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-402-9099
Practice Address - Fax:610-402-9029
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN574718163W00000X
PA085424367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA12136782OtherCAQH
PA2524666OtherHIGHMARK
PA1592516OtherGATEWAY
PA3807476000OtherIBC
PA50095572OtherCAPITAL ADVANTAGE
PA140642OtherGEISINGER
PA2524666OtherFIRST PRIORITY
PA9418596OtherAETNA
PA1027807090001Medicaid
PA195650QCYMedicare PIN