Provider Demographics
NPI:1124251160
Name:ANDERSON, LINDSAY T (NP)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:T
Last Name:ANDERSON
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:T
Other - Last Name:BIDDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1801 N SENATE BLVD.
Practice Address - Street 2:SUITE 635
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1212
Practice Address - Country:US
Practice Address - Phone:317-630-7582
Practice Address - Fax:317-630-7694
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71003006A363LA2100X
IN710036006A363LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000667920OtherANTHEM PTAN
IN000000844548OtherANTHEM PTAN
IN000000862448OtherANTHEM PTAN
IN000000919114OtherANTHEM PTAN
IN201100260Medicaid