Individual provider Active NPI

Taylor Lintner, PA-C

  • Medical Physician Assistant
  • Northbrook, IL
National Provider Identifier
1215712583
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
900 Skokie Blvd Ste 150
Northbrook, IL 60062-4038
Phone
(847) 497-2020
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X IL Primary

Addresses

Primary practice location

900 Skokie Blvd Ste 150
Northbrook, IL 60062-4038

Mailing address

900 Skokie Blvd Ste 150
Northbrook, IL 60062-4038
Phone (847) 497-2020

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wyse Eyecare SC CurrentSince Aug 18, 2024 Accepting new patients
Fenner Plastic Surgery, LTD. PastSince Aug 18, 2024 Accepting new patients

Locations

900 Skokie Blvd
Ste 150
Northbrook, IL 60062
Phone (847) 497-2020

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1215712583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 150",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624038",
            "telephone_number": "847-497-2020",
            "fax_number": "847-497-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 150",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624038",
            "telephone_number": "847-497-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTNER",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.