Provider Demographics
NPI:1790154375
Name:OCHS, LINDSAY A (APRN)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:A
Last Name:OCHS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:A
Other - Last Name:JAKOPOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1515 S CLIFTON AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-2961
Mailing Address - Country:US
Mailing Address - Phone:316-636-1550
Mailing Address - Fax:
Practice Address - Street 1:1515 S CLIFTON AVE STE 400
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218
Practice Address - Country:US
Practice Address - Phone:316-636-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111881363L00000X
KS76976363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201123270BMedicaid
NE47068731799Medicaid
NE10026301600Medicaid
IA1790154375Medicaid
IA1790154375Medicaid