Linda Lee Eddy, PNP, RN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

078040320N2 Issued in OR

Practice address

1621 Columbia Blvd
Saint Helens, OR 97051-6221

Phone

(503) 366-4005

Fax

(503) 366-0314

NPI assigned

Nov 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Columbia County Child Abuse Assessment Center

  • Pediatric Nurse Practitioner
  • Saint Helens, OR
  • NPI 1629152327

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1124272703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970518001",
            "telephone_number": "503-366-4005",
            "fax_number": "503-366-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 COLUMBIA BLVD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970516221",
            "telephone_number": "503-366-4005",
            "fax_number": "503-366-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "078040320N2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dutton
• Jacob Duvall
• Jessica N Eastman
• Pattsie J Ebert, RN
• Andrew Eddings
• Cassondra Lee Edwards
• John Edwards
• Khoridenae Karlee Elder
• Wayde Bryant Elliott, DMD
• Michael Vernon Elsasser, B.S., CADC II

• Pediatric Nurse Practitioner in Saint Helens, OR
• Providers in Saint Helens, OR by specialty
• Pediatric Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.