Organization Active NPI

Jennifer Lin M.D.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1124299847
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30777 Issued in AZ
Legal business name
JENNIFER LIN M.D.
Practice address
7320 N la Cholla Blvd
# 107
Tucson, AZ 85741-2309
Phone
(520) 872-7265
Fax
(520) 872-7929
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Sonia Uribe
Title
Credentialing Coordinator
Phone
(520) 872-7265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 30777 AZ Primary

Addresses

Primary practice location

7320 N la Cholla Blvd
# 107
Tucson, AZ 85741-2309

Mailing address

7320 N la Cholla Blvd
# 107
Tucson, AZ 85741-2309
Phone (520) 872-7265

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1124299847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 N LA CHOLLA BLVD",
            "address_2": "# 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412309",
            "telephone_number": "520-872-7265",
            "fax_number": "520-872-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 N LA CHOLLA BLVD",
            "address_2": "# 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412309",
            "telephone_number": "520-872-7265",
            "fax_number": "520-872-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER LIN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "URIBE",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "520-872-7265"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "30777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.