Provider Demographics
NPI:1902245632
Name:LINDSTADT, KATE AILEEN (RN, NNP)
Entity type:Individual
Prefix:MS
First Name:KATE
Middle Name:AILEEN
Last Name:LINDSTADT
Suffix:
Gender:F
Credentials:RN, NNP
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Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-0220
Mailing Address - Country:US
Mailing Address - Phone:631-897-7094
Mailing Address - Fax:
Practice Address - Street 1:50 ROUTE 25A
Practice Address - Street 2:
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787
Practice Address - Country:US
Practice Address - Phone:631-444-7653
Practice Address - Fax:631-444-8968
Is Sole Proprietor?:No
Enumeration Date:2013-06-15
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY350328363LN0000X, 363LN0005X
NY402833363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health