Provider Demographics
NPI:1619765344
Name:ZITZ, LINDSAY VIRGINIA (PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:VIRGINIA
Last Name:ZITZ
Suffix:
Gender:F
Credentials:PMHNP-BC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 N ACADEMY BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80917-5115
Mailing Address - Country:US
Mailing Address - Phone:719-747-2084
Mailing Address - Fax:719-931-1323
Practice Address - Street 1:3220 N ACADEMY BLVD STE 3
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80917-5115
Practice Address - Country:US
Practice Address - Phone:719-747-2084
Practice Address - Fax:719-931-1323
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.1000795-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000247145Medicaid