Active NPI
Nickolas Linna, DO
- Optician
- Ludlow, MA
National Provider Identifier
1235649955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 6100
- Practice address
- 120 East St
Ludlow, MA 01056-3409 - Phone
- (413) 887-1797
- NPI assigned
- Oct 8, 2017
- Last updated
- Oct 8, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 6100 | MA | Primary |
| Contractor | 171W00000X | 6100 | MA |
Addresses
Primary practice location
120 East St
Ludlow, MA 01056-3409
Mailing address
28 Pleasant St
Ludlow, MA 01056-2527
Phone (413) 887-1797
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6100 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507420800000",
"number": "1235649955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 PLEASANT ST",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010562527",
"telephone_number": "413-887-1797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 EAST ST",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010563409",
"telephone_number": "413-887-1797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINNA",
"first_name": "NICKOLAS",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-08",
"last_updated": "2017-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "6100",
"primary": true
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MA",
"license": "6100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ludlow, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.