=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255075453
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WHITE COAT CONCIERGE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2022
-----------------------------------------------------
Last Update Date | 02/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3459 SAINT ROSE PKWY # 120-461
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89052-4601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-992-4867
-----------------------------------------------------
Fax | 833-795-1957
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3459 SAINT ROSE PKWY STE 120-461
-----------------------------------------------------
City | HENDERSON
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89052-4601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-659-8986
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CASAUNDRA D LINDSEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 702-992-4867
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------