NPIMap

Individual provider Active NPI

Linda J Calderwood, ARNP

  • Gerontology Nurse Practitioner
  • Port Townsend, WA
National Provider Identifier
1114300241
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP60799723 Issued in WA
Practice address
2500 W Sims Way Ste 300
Port Townsend, WA 98368-2234
Phone
(360) 385-0610
NPI assigned
Jul 7, 2015
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP60799723 WA Primary

Addresses

Primary practice location

2500 W Sims Way Ste 300
Port Townsend, WA 98368-2234

Mailing address

834 Sheridan St
Port Townsend, WA 98368-2443

Other practice location 1

915 Sheridan St
Port Townsend, WA 98368-2931
Phone (360) 385-4848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124001685 WA Practitioner - Nurse Practitioner 2365758265 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

915 Sheridan St
Port Townsend, WA 98368-2931
Phone (360) 379-8031

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60799723WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jan 1, 2018 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 1, 2018 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Dec 11, 2023 Accepting new patients
Providence Health & Services Washington Current Accepting new patients
Providence Health & Services Washington CurrentSince Jan 1, 2018 Accepting new patients
Providence Health & Services Washington CurrentSince Jan 1, 2018 Accepting new patients
Providence Health & Services Washington Current Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Dec 11, 2023 Accepting new patients
Jefferson County Public Hospital District No 2 PastSince Dec 17, 2023 Accepting new patients
Caldwell Hospice and Palliative Care, Inc. Past Accepting new patients
Jefferson County Public Hospital District No 2 Past Accepting new patients

Locations

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

410 Providence Ln NE
Bldg 2
Olympia, WA 98506
Phone (360) 493-4500

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

2500 W Sims Way
Ste 304
Port Townsend, WA 98368
Phone (360) 385-0610

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

915 Sheridan St
Port Townsend, WA 98368
Phone (360) 379-8031

934 Sheridan St
Port Townsend, WA 98368
Phone (360) 385-5330

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1114300241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 SHERIDAN ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W SIMS WAY STE 300",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682234",
            "telephone_number": "360-385-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983682931",
            "country_code": "US",
            "telephone_number": "360-385-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERWOOD",
        "first_name": "LINDA",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60799723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

Verify at the official NPI Registry.