Linda Peterson Chambers, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R860655 Issued in MS

Practice address

1493 Highway 17
Camden, MS 39045-9524

Phone

(662) 468-2015

Fax

(662) 468-2015

NPI assigned

Nov 30, 2006

Last updated

Feb 28, 2018By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sandm Medical ClinicGroup PAC ID 4880965938, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• MS PPO
• MS PPO C-SNP
• LA PPO C-SNP
• MS PPO D-SNP

Interoperability endpoints

• Direct secure messaging: linda.chambers.1@32136.direct.athenahealth.com

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

• Camden Community Family Health Clinic, Inc.

  • Community Health Clinic/Center
  • Camden, MS
  • NPI 1437404241
  Medicare reassignment NPD Authorized official
• S&M Medical Clinic

  • Primary Care Clinic/Center
  • Durant, MS
  • NPI 1912433459
  Medicare reassignment Care Compare group
• Regional Healthcare Group LLC

  • Acute Care Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1407587363

  MS

  Medicare reassignment NPD
• Patients Choice Medical Center of Humphreys County, LLC

  • Critical Access Hospital
  • Belzoni, MS
  • NPI 1114951324
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1023186038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "SHARON",
            "state": "MS",
            "postal_code": "391630029",
            "telephone_number": "662-468-2015",
            "fax_number": "844-270-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 HIGHWAY 17",
            "city": "CAMDEN",
            "state": "MS",
            "postal_code": "390459524",
            "telephone_number": "662-468-2015",
            "fax_number": "662-468-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "LINDA",
        "middle_name": "PETERSON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R860655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03581557",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valencia Reynolds Beamon, RPT
• Camden Community Family Health Clinic, Inc.
• Hands Helping Hands
• Lets Move Physical Therapy and Wellness Inc
• Premier Family Medicine, PLLC
• Geisha Smith
• Cleatonia A Washington

• Family Nurse Practitioner in Camden, MS
• Providers in Camden, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.