Linda Sue Wells, LVN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

VN149689 Issued in CA

Practice address

1808 Rancho Encantado Court
Modesto, CA 95358-7128

Phone

(209) 596-7477

Fax

(800) 611-7128

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Linda Sue Nutall Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1003026840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 RANCHO ENCANTADO COURT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95358",
            "telephone_number": "209-596-7477",
            "fax_number": "800-611-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 RANCHO ENCANTADO COURT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953587128",
            "telephone_number": "209-596-7477",
            "fax_number": "800-611-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "VN149689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "NUTALL",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "credential": "LVN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wellbound of Modesto LLC
• David I Wells, DPM
• Jessica Wells
• Jocelyn Elizabeth Wells
• Katelyn Jeane Wells, MS, LPCC
• Kelly Wenger, M.S., CCC-SLP
• Thomas Raymond Wenstrup, M.D.
• Cameron James Werme, ATC
• Ian Wescott
• Letta Danielle Wesley, M.S.

• Home Health Agency in Modesto, CA
• Providers in Modesto, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.