Individual provider Active NPI

Linda Cella Bird, ARNP

  • Family Nurse Practitioner
  • Salem, OR
National Provider Identifier
1013050301
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
099006422N1 Issued in OR
Practice address
780 Commercial St SE Ste 103
Salem, OR 97301-3465
Phone
(503) 586-8291
Fax
(503) 689-8076
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 099006422RN OR
Family Nurse Practitioner 363LF0000X 099006422N1 OR Primary

Addresses

Primary practice location

780 Commercial St SE Ste 103
Salem, OR 97301-3465

Mailing address

PO Box 5485
Salem, OR 97304-0485
Phone (503) 586-8291

Other identifiers 1

IdentifierTypeStateIssuer
210764MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120126000831 OR Practitioner - Nurse Practitioner 7618054065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

780 Commercial St SE
Suite 103
Salem, OR 97301-3465
Phone (503) 586-8291

Hospital & facility affiliations

  • Salem Health West Valley Hospital, Dallas, OR, CCN 381308
  • Salem Hospital Hospital, Salem, OR, CCN 380051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
099006422RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Family Medicine LLC CurrentSince Jun 21, 2024 Accepting new patients
Groundswell Integrative Healthcare Inc. PastSince Jul 1, 2015 Accepting new patients

Locations

842 Commercial St SE
Salem, OR 97302
Phone (503) 586-8291

780 Commercial St SE
Ste 103
Salem, OR 97301
Phone (503) 586-8291

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1013050301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5485",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973040485",
            "telephone_number": "503-586-8291",
            "fax_number": "503-689-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 COMMERCIAL ST SE STE 103",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013465",
            "telephone_number": "503-586-8291",
            "fax_number": "503-689-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "LINDA",
        "middle_name": "CELLA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "099006422RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "099006422N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210764",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.