Individual provider Active NPI

Linda McBride, MS, RN

  • Registered Nurse
  • Chicago, IL
National Provider Identifier
1184137978
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041-196256 Issued in IL
Practice address
3612 N Richmond St
Chicago, IL 60618-4614
Phone
(773) 597-5045
NPI assigned
Nov 15, 2017
Last updated
Nov 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041-196256 IL Primary

Addresses

Primary practice location

3612 N Richmond St
Chicago, IL 60618-4614

Mailing address

5250 Old Orchard Rd Ste 300
Skokie, IL 60077-4462
Phone (847) 423-6477

Other identifiers 1

IdentifierTypeStateIssuer
041-196256OtherILSTATE OF ILLINOIS DEPT OF REGULATION - REGISTERED NURSE

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
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-196256ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1184137978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 OLD ORCHARD RD STE 300",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600774462",
            "telephone_number": "847-423-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 N RICHMOND ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184614",
            "telephone_number": "773-597-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "LINDA",
        "credential": "MS, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-196256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS DEPT OF REGULATION - REGISTERED NURSE",
            "identifier": "041-196256",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.