Healthcare Provider Details

I. General information

NPI: 1578184065
Provider Name (Legal Business Name): KATHRYN KAY LINDSAY MSN, APRN-BC, AGPCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATHRYN KAY ENGLES RN

II. Dates (important events)

Enumeration Date: 05/06/2020
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1438 S GRAND BLVD
SAINT LOUIS MO
63104-1027
US

IV. Provider business mailing address

1438 S GRAND BLVD RM 324
SAINT LOUIS MO
63104-1027
US

V. Phone/Fax

Practice location:
  • Phone: 314-977-4851
  • Fax: 314-977-4801
Mailing address:
  • Phone: 314-977-4851
  • Fax: 314-977-4801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2016029250
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number143312
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number2016029250
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number2016029250
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: