Linda Kellee Erickson

Key facts

NPI

1215534730

Entity type

Individual (NPI type 1)

Primary specialty

Contractor 171W00000X

Practice address

227 Stallion LN
Lino Lakes, MN 55014-7014

Phone

(763) 516-1481

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 8, 2021.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1215534730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 RUM RIVER DR",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553031103",
            "telephone_number": "763-392-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 STALLION LN",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550147014",
            "telephone_number": "763-516-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "LINDA",
        "middle_name": "KELLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Lino Lakes, MN · Contractor in Minnesota