Active NPI
Linda Hansen-Rodier, ARNP
- Nurse Practitioner
- Haverhill, MA
National Provider Identifier
1174699979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 158677
- Practice address
- 62 Brown Street
Suite 304C
Haverhill, MA 01830 - Phone
- (978) 374-6770
- Fax
- (978) 374-1746
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 029940-23-04 | NH | |
| Nurse Practitioner | 363L00000X | 158677 | MA | Primary |
Addresses
Primary practice location
62 Brown Street
Suite 304C
Haverhill, MA 01830
Mailing address
401 Andover Street
Suite 101
No. Andover, MA 01845
Phone (978) 691-5690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110025235A | Medicaid | MA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1174699979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ANDOVER STREET",
"address_2": "SUITE 101",
"city": "NO. ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-691-5690",
"fax_number": "978-691-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 BROWN STREET",
"address_2": "SUITE 304C",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "01830",
"telephone_number": "978-374-6770",
"fax_number": "978-374-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN-RODIER",
"first_name": "LINDA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "029940-23-04",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "158677",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110025235A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.