Healthcare Provider Details

I. General information

NPI: 1851077507
Provider Name (Legal Business Name): LINDSEY NICOLE ALLIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 S 45TH ST
OMAHA NE
68198-2002
US

IV. Provider business mailing address

8219 CITY CENTER DR APT 518
LA VISTA NE
68128-2736
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-5600
  • Fax:
Mailing address:
  • Phone: 816-673-6026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3223
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: