Active NPI
Mary Linnell, M.A.
- Health Educator
- Lakeport, CA
National Provider Identifier
1073901245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 925 Bevins CT
Lakeport, CA 95453-9754 - Phone
- (707) 263-8382
- Fax
- (707) 263-1909
- NPI assigned
- Dec 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
925 Bevins CT
Lakeport, CA 95453-9754
Mailing address
925 Bevins CT
Lakeport, CA 95453-9754
Phone (707) 263-8382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1073901245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 BEVINS CT",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954539754",
"telephone_number": "707-263-8382",
"fax_number": "707-263-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 BEVINS CT",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954539754",
"telephone_number": "707-263-8382",
"fax_number": "707-263-1909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINNELL",
"first_name": "MARY",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-22",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.