MEDICARE: MRS. LINDSEY NICOLE BAUMAN CPNP-PC, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	5007793	NC
2	363LP0200X	Pediatric Nurse Practitioner	RN.370675-COA1	OH
3	363LP0200X	Pediatric Nurse Practitioner	RX. 15791-EX1	OH
4	363LP0200X	Pediatric Nurse Practitioner	19522	SC
5	363LP0200X	Pediatric Nurse Practitioner	COA.15791-NP	OH
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4306-0	HI
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	19522	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184969057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDSEY NICOLE BAUMAN CPNP-PC, PMHNP-BC

Provider Business Mailing Address
First Line	:	1171 MARKET ST STE 201
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6514
Country	:	US
Telephone Number	:	419-297-3657
Fax Number	:

Provider Business Practice Location Address
First Line	:	1171 MARKET ST STE 201
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-6514
Country	:	US
Telephone Number	:	419-297-3657
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2012
Last Update Date	:	02/13/2024

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