Individual provider Active NPI

Annie Lincoln, M.D.

  • Neurology Physician
  • Lubbock, TX
National Provider Identifier
1033281373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G4238 Issued in TX
Practice address
2310 Indiana Ave
Lubbock, TX 79410-2142
Phone
(806) 795-9777
Fax
(806) 795-0799
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G4238 TX Primary

Addresses

Primary practice location

2310 Indiana Ave
Lubbock, TX 79410-2142

Mailing address

2310 Indiana Ave
Lubbock, TX 79410-2142
Phone (806) 795-9777

Other identifiers 1

IdentifierTypeStateIssuer
00TY53OtherTNBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120703000600 TX Practitioner - NeurologyPractitioner - Psychiatry 7810152469 Practice locations: Lubbock, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G4238TXMDNeurology Physician

Interoperability endpoints

  • Direct secure messaging: annie.lincoln@direct.myteamcare.com

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033281373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102142",
            "telephone_number": "806-795-9777",
            "fax_number": "806-795-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102142",
            "telephone_number": "806-795-9777",
            "fax_number": "806-795-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCOLN",
        "first_name": "ANNIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "G4238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00TY53",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.