Active NPI
Lindara L Halloran, MD
- Pediatrics Physician
- Truckee, CA
National Provider Identifier
1033106802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 056562
- Practice address
- 10775 Pioneer TRL Ste 215
Truckee, CA 96161-0234 - Phone
- (415) 424-4266
- Fax
- (415) 520-6633
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 056562 | GA | Primary |
Addresses
Primary practice location
10775 Pioneer TRL Ste 215
Truckee, CA 96161-0234
Mailing address
8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266
Other practice location 1
445 Dexter Ave Ste 4050
Montgomery, AL 36104-3867
Phone (415) 424-4266
Other practice location 2
100 S 4th St
Saint Louis, MO 63102-1800
Phone (415) 424-4266
Other practice location 3
720 S Colorado Blvd Ph North
Denver, CO 80246-1904
Phone (415) 424-4266
Other practice location 4
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (415) 424-4266
Other practice location 5
8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516
Phone (415) 424-4266
Other practice location 6
8300 Esters Blvd Ste 900
Irving, TX 75063-2233
Phone (415) 424-4266
Other practice location 7
123 S Broad St Fl 15
Philadelphia, PA 19109-1029
Phone (415) 424-4266
Other practice location 8
475 Biltmore Way Ste 109
Coral Gables, FL 33134-5724
Phone (415) 424-4266
Other practice location 9
1400 Hooper Ave Ste 2
Toms River, NJ 08753-2981
Phone (415) 424-4266
Other practice location 10
5555 Glenridge Connector Ste 200
Atlanta, GA 30342-4815
Phone (415) 424-4266
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100478053 | Medicaid | CA | |
| 009983060 | Medicaid | AL | |
| 925752771 | Medicaid | GA | |
| 051507804 | Other | AL | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211101001763 | MI | Practitioner - Pediatric Medicine | 2365424124 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056562 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telehealth Services USA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- lhalloran10517@choa.gadirect.net
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Truckee, CA
- NPI 1275035263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1033106802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 ESTERS BLVD STE 900",
"city": "IRVING",
"state": "TX",
"postal_code": "750632233",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10775 PIONEER TRL STE 215",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961610234",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633"
}
],
"practiceLocations": [
{
"address_1": "445 Dexter Ave Ste 4050",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361043867",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 S 4th St",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631021800",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "720 S Colorado Blvd Ph North",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802461904",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16701 Melford Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207154411",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8280 Willow Oaks Corporate Dr Ste 600",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220314516",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8300 Esters Blvd Ste 900",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750632233",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "123 S Broad St Fl 15",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191091029",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "475 Biltmore Way Ste 109",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331345724",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 Hooper Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Toms River",
"state": "NJ",
"postal_code": "087532981",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5555 Glenridge Connector Ste 200",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303424815",
"country_code": "US",
"telephone_number": "415-424-4266",
"fax_number": "415-520-6633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALLORAN",
"first_name": "LINDARA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "056562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100478053",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009983060",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "925752771",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "051507804",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Truckee, CA
- Vanessa Ivette Gutierrez, RN, PNP, CRNP
- Veronica Alejandra Gutierrez, MA, APCC, AMFT
- Michael Hagen Jr., M.D.
- Curtis William Hague, PHARM.D.
- Robin A Hall, MSW, LCSW
- Melissa Harelson
- Tammy Lynn Harper, MS, MAC, LMHC, SUDP
- Gudrun A Hartig, CMT
- Abigail Nadine Haskell, PA-C
- Valerie Renae Hassen, MA, APCC, AMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.