Basic Information
Provider Information
NPI: 1578929659
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WRIGHT
FirstName: LINDSEY
MiddleName: CAREY
NamePrefix:  
NameSuffix:  
Credential: PMHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 50 S B B KING BLVD STE 100
Address2:  
City: MEMPHIS
State: TN
PostalCode: 381032626
CountryCode: US
TelephoneNumber: 9014361381
FaxNumber:  
Practice Location
Address1: 180 FORT WASHINGTON AVE FL 7
Address2:  
City: NEW YORK
State: NY
PostalCode: 100323722
CountryCode: US
TelephoneNumber: 2123057340
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/06/2016
LastUpdateDate: 05/17/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/17/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X706501NYN Nursing Service ProvidersRegistered Nurse 
363L00000X402301NYN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LP0808X402301NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


Home