Active NPI
Linda Kathleen Nelson, MS, LP
- Clinical Psychologist
- Marshall, MN
National Provider Identifier
1255343406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP3517
- Practice address
- 1212 E College Dr
Marshall, MN 56258-2010 - Phone
- (507) 532-3236
- Fax
- (507) 532-0240
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP3517 | MN | Primary |
Addresses
Primary practice location
1212 E College Dr
Marshall, MN 56258-2010
Mailing address
1113 290TH St
Hendricks, MN 56136-4000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396793 | Other | MN | UNITED HEALTH CARE |
| 21537 | Other | MN | SIOUX VALLEY HEALTH |
| HP37853 | Other | MN | HEALTH PARTNERS |
| 105031 | Other | MN | UCARE |
| 1011832 | Other | MN | PREFERRED ONE |
| 38T69NE | Other | MN | BLUE CROSS BLUE SHIELD |
Other names 1
- Ms. Linda Kathleen Moe
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3517 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255343406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 290TH ST",
"city": "HENDRICKS",
"state": "MN",
"postal_code": "561364000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 E COLLEGE DR",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562582010",
"telephone_number": "507-532-3236",
"fax_number": "507-532-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LINDA",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "MS, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP3517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1396793",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH",
"identifier": "21537",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP37853",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "105031",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1011832",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "38T69NE",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "MOE",
"middle_name": "KATHLEEN",
"prefix": "MS.",
"credential": "MS,LP, CCMHC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Marshall, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.