MEDICARE: LINDSEY ELISE NISTOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1386464006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY ELISE NISTOR

Provider Business Mailing Address
First Line	:	6925 CHERRY RIDGE CIR
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-3445
Country	:	US
Telephone Number	:	916-588-0539
Fax Number	:

Provider Business Practice Location Address
First Line	:	6925 CHERRY RIDGE CIR
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-3445
Country	:	US
Telephone Number	:	916-588-0539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	06/09/2026

Similar Medicare Providers

1154795987 — EMILIO RAMIREZ
Practice Location Address:

716 PLEASANT ST.
ROSEVILLE, CA
95678

Practice Phone: 916-521-8583
Practice Fax:

1508790312 — RACHEL WIGGS
Practice Location Address:

1382 BLUE OAKS BLVD STE 213
ROSEVILLE, CA
95678-7052

Practice Phone: 619-940-5165
Practice Fax:

1730013806 — MACKENZIE FOX
Practice Location Address:

1358 BLUE OAKS BLVD STE 300
ROSEVILLE, CA
95678-7040

Practice Phone: 916-676-0488
Practice Fax:

1104469204 — DR. ZACHARY THOMAS OWENS DC
Practice Location Address:

201 HARDING BLVD STE J
ROSEVILLE, CA
95678-2814

Practice Phone: 916-784-2727
Practice Fax: 916-784-3821

1447677497 — DR. DANIELLE N GRANIERI D.O.
Practice Location Address:

1011 RIVERSIDE AVE
ROSEVILLE, CA
95678-5134

Practice Phone: 925-737-3785
Practice Fax:

1477486876 — MRS. LIGIA BREMERMAN LCSW
Practice Location Address:

500 GROVE ST
ROSEVILLE, CA
95678-1423

Practice Phone: 916-832-7108
Practice Fax:

Directions to “ LINDSEY ELISE NISTOR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.