Individual provider Active NPI

Linda D. Spagnola, RN, BSN, CDE

  • Diabetes Educator Registered Nurse
  • Greensboro, NC
National Provider Identifier
1083842983
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
0862-1056 Issued in NC
Practice address
1002 N Church St Ste 400
Greensboro, NC 27401-1450
Phone
(336) 378-1076
Fax
(336) 378-0867
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 72654 NC
Diabetes Educator Registered Nurse 163WD0400X 0862-1056 NC Primary

Addresses

Primary practice location

1002 N Church St Ste 400
Greensboro, NC 27401-1450

Mailing address

1002 N Church St Ste 400
Greensboro, NC 27401-1450
Phone (336) 378-1076

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
72654NCMDRegistered Nurse
0862-1056NCMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1083842983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST STE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011450",
            "telephone_number": "336-378-1076",
            "fax_number": "336-378-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST STE 400",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011450",
            "telephone_number": "336-378-1076",
            "fax_number": "336-378-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNOLA",
        "first_name": "LINDA",
        "middle_name": "D.",
        "credential": "RN, BSN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "72654",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NC",
            "license": "0862-1056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.