Healthcare Provider Details

I. General information

NPI: 1023938420
Provider Name (Legal Business Name): LINDSAY J GEBHARDT PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 SAGAMORE PKWY N STE G
LAFAYETTE IN
47904-5033
US

IV. Provider business mailing address

3601 SAGAMORE PKWY N STE G
LAFAYETTE IN
47904-5033
US

V. Phone/Fax

Practice location:
  • Phone: 765-739-3482
  • Fax:
Mailing address:
  • Phone: 765-232-3503
  • Fax: 765-544-3740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71018441A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: