Healthcare Provider Details

I. General information

NPI: 1487888004
Provider Name (Legal Business Name): LINDSAY KAY MEANS RN, MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY KAY SHAFFER RN, BSN

II. Dates (important events)

Enumeration Date: 05/11/2009
Last Update Date: 12/18/2020
Certification Date: 12/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 EUCLID AVE
CLEVELAND OH
44106-1716
US

IV. Provider business mailing address

24701 EUCLID AVE 3RD FLOOR
EUCLID OH
44117-1714
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3954
  • Fax: 216-844-7631
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCOA.10704-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: