Healthcare Provider Details

I. General information

NPI: 1285575076
Provider Name (Legal Business Name): THOMAS LINDSEY RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 CAPITOL AVE
SACRAMENTO CA
95816-6039
US

IV. Provider business mailing address

2825 CAPITOL AVE
SACRAMENTO CA
95816-6039
US

V. Phone/Fax

Practice location:
  • Phone: 916-887-0360
  • Fax:
Mailing address:
  • Phone: 916-887-0360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number694074
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: