Linda J Nygren, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

28967 Issued in MN

Practice address

2545 Chicago Avenue South
Suite 405
Minneapolis, MN 55404-4544

Phone

(612) 871-5511

Fax

(612) 871-0996

NPI assigned

Nov 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1013999242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 CHICAGO AVENUE SOUTH",
            "address_2": "SUITE 405",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044544",
            "telephone_number": "612-871-5511",
            "fax_number": "612-871-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CHICAGO AVENUE SOUTH",
            "address_2": "SUITE 405",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044544",
            "telephone_number": "612-871-5511",
            "fax_number": "612-871-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGREN",
        "first_name": "LINDA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "43580",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "28967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013999242",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30628600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Lynn Nye
• Amy E Nygaard, MD
• Georgia Gayle Nygaard, RN, CNP
• Kelly Ann Nygard
• Ashlee Lynn Nygren
• Matthew Martin Nygren, CNP
• Karen Nyhus, MA CCC-SLP
• Achalla Nyigwo
• Christine Nyina Wabera
• Annika Nyman

• Pediatrics Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.