NPI 1083421812 · live from the CMS NPI Registry
Lindsey Mae Black, PNP
Nurse Practitioner, Pediatrics in Springfield, MO. National Provider Identifier 1083421812, active.
NPI record
| NPI | 1083421812 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1335 E Republic Rd Ste D, Springfield, MO 65804 |
| Practice phone | 417-363-3900 |
| Mailing address | 983 S Gettysburg Loop, Republic, MO 65738 |
| Enumerated | December 16, 2024 |
| Last updated | August 21, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2024048637 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.