Healthcare Provider Details

I. General information

NPI: 1245707132
Provider Name (Legal Business Name): LINDSAY JOHNSON FICK DNP, APRN, CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY NICOLE JOHNSON-BISHOP

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 GILLHAM RD
KANSAS CITY MO
64108-4619
US

IV. Provider business mailing address

8521 GRENADIER DR
DALLAS TX
75238-3815
US

V. Phone/Fax

Practice location:
  • Phone: 816-234-3000
  • Fax:
Mailing address:
  • Phone: 214-478-1122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberAP139525
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: