Provider Demographics
NPI:1912530650
Name:LINDSAY, JACQUELINE DORIS (OWDS)
Entity Type:Individual
Prefix:
First Name:JACQUELINE
Middle Name:DORIS
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:OWDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 SW CLAY ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-1114
Mailing Address - Country:US
Mailing Address - Phone:785-817-3666
Mailing Address - Fax:
Practice Address - Street 1:1430 SW TOPEKA BLVD
Practice Address - Street 2:TOPEKA, KANSAS 66612
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66601-6660
Practice Address - Country:US
Practice Address - Phone:785-296-0513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-21
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No171W00000XOther Service ProvidersContractor
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health