Healthcare Provider Details

I. General information

NPI: 1164347860
Provider Name (Legal Business Name): LINDSIE SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 HICKORY TRL
IOWA CITY IA
52245-3582
US

IV. Provider business mailing address

2508 UNION RD LOT 203
CEDAR FALLS IA
50613-9225
US

V. Phone/Fax

Practice location:
  • Phone: 319-493-2153
  • Fax:
Mailing address:
  • Phone: 319-493-2153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA193327
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: