Healthcare Provider Details

I. General information

NPI: 1215894126
Provider Name (Legal Business Name): DODI LINDSAY RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24825 BEN TAYLOR RD
COLFAX CA
95713-9553
US

IV. Provider business mailing address

PO BOX 112
COOL CA
95614-0112
US

V. Phone/Fax

Practice location:
  • Phone: 530-346-2202
  • Fax:
Mailing address:
  • Phone: 408-838-6507
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number511449
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: