Individual provider Active NPI

Christine Linde, ATC

  • Athletic Trainer
  • Provo, UT
National Provider Identifier
1104239250
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
6332196-4810 Issued in UT
Practice address
1136 SFH
Brigham Yound Univeristy
Provo, UT 84602-2246
Phone
(801) 422-7572
Fax
(801) 422-0038
NPI assigned
Jun 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 6332196-4810 UT Primary

Addresses

Primary practice location

1136 SFH
Brigham Yound Univeristy
Provo, UT 84602-2246

Mailing address

464 N 2150 W
Provo, UT 84601-7243
Phone (801) 319-7732

Other names 1

  • Chris Linde Other name

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

State licenses

LicenseStateTypeSpecialty
6332196-4810UTMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1104239250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 N 2150 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846017243",
            "telephone_number": "801-319-7732",
            "fax_number": "801-422-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 SFH",
            "address_2": "BRIGHAM YOUND UNIVERISTY",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846022246",
            "telephone_number": "801-422-7572",
            "fax_number": "801-422-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDE",
        "first_name": "CHRISTINE",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "UT",
            "license": "6332196-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "LINDE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

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

Verify at the official NPI Registry.