Active NPI
Linda Kathleen Medeiros, ARNP
- Adult Health Nurse Practitioner
- Boston, MA
National Provider Identifier
1255540415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 040496-23-05
- Practice address
- One BMC Place
Dowling North, RM 5108
Boston, MA 02118-0000 - Phone
- (617) 638-7062
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 040496-23-05 | NH | Primary |
Addresses
Primary practice location
One BMC Place
Dowling North, RM 5108
Boston, MA 02118-0000
Mailing address
One BMC Place
Dowling North, RM 5108
Boston, MA 02118-0000
Phone (617) 638-7062
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040496-23-05 | Other | NH | ARNP LICENSE |
| RN-261835 | Other | MA | RN/NP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1255540415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE BMC PLACE",
"address_2": "DOWLING NORTH, RM 5108",
"city": "BOSTON",
"state": "MA",
"postal_code": "021180000",
"telephone_number": "617-638-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE BMC PLACE",
"address_2": "DOWLING NORTH, RM 5108",
"city": "BOSTON",
"state": "MA",
"postal_code": "021180000",
"telephone_number": "617-638-7062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDEIROS",
"first_name": "LINDA",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2023-03-07",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NH",
"license": "040496-23-05",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP LICENSE",
"identifier": "040496-23-05",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN/NP",
"identifier": "RN-261835",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
- Andrew Joseph Medeiros, PA
- Brianna Medeiros, NP
- Joshua Medeiros, PA-C
- Kathryn A Medeiros, RNC COHN-S
- Kayla Medeiros
- Medexpress Primary Care Massachusetts, P.C.
- Arielle J Medford, MD
- Medical Care Affiliates
- Medical Center Orthotics and Prosthetics, LLC (ForMotion Clinic)
- Fay Medici, DNP, CPNP-AC,MSN, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.