Provider Demographics
NPI:1578984175
Name:CHAMBERS, LINDSEY RENEE (APRN)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:RENEE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16538 W 159TH TER
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3924
Mailing Address - Country:US
Mailing Address - Phone:913-829-1660
Mailing Address - Fax:913-829-1770
Practice Address - Street 1:16538 W 159TH TER
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3924
Practice Address - Country:US
Practice Address - Phone:913-829-1660
Practice Address - Fax:913-829-1770
Is Sole Proprietor?:No
Enumeration Date:2013-12-27
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-76068363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201088860AMedicaid
KS201088860AMedicaid