Basic Information
Provider Information
NPI: 1124474663
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OXFORD
FirstName: LYNDSEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2400 PATTERSON ST
Address2: SUITE 400
City: NASHVILLE
State: TN
PostalCode: 372031562
CountryCode: US
TelephoneNumber: 6153425900
FaxNumber:  
Practice Location
Address1: 2400 PATTERSON ST
Address2: SUITE 400
City: NASHVILLE
State: TN
PostalCode: 372031562
CountryCode: US
TelephoneNumber: 6153425900
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/13/2016
LastUpdateDate: 01/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X20993TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

ID Information
IDTypeStateIssuerDescription
2099301TNTN LICENSEOTHER


Home