Individual provider Active NPI

Rose Marie Ann Lindbeck, R. N.

  • Registered Nurse
  • Clovis, CA
National Provider Identifier
1235328709
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
359317 Issued in CA
Practice address
304 Cherry Lane
Clovis, CA 93612-0907
Phone
(559) 298-3689
NPI assigned
Oct 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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 359317 CA Primary

Addresses

Primary practice location

304 Cherry Lane
Clovis, CA 93612-0907

Mailing address

304 Cherry LN
Clovis, CA 93612-0907
Phone (559) 298-3689

Other names 1

  • Rose Mary Ann Herrera-Lindbeck Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
359317CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1235328709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CHERRY LN",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120907",
            "telephone_number": "559-298-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CHERRY LANE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120907",
            "telephone_number": "559-298-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDBECK",
        "first_name": "ROSE MARIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "R. N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "359317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE MARY",
            "last_name": "HERRERA-LINDBECK",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.