Individual provider Active NPI

Virginia M. Linabury, MD

  • Addiction Psychiatry Physician
  • Glendale, WI
National Provider Identifier
1285672360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
29567 Issued in WI
Practice address
250 W Coventry CT
Suite 209
Glendale, WI 53217-3972
Phone
(414) 351-7726
Fax
(414) 351-7721
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X 29567 WI Primary

Addresses

Primary practice location

250 W Coventry CT
Suite 209
Glendale, WI 53217-3972

Mailing address

250 W Coventry CT
Suite 209
Glendale, WI 53217-3972
Phone (414) 351-7726

Other identifiers 2

IdentifierTypeStateIssuer
31434700MedicaidWI
3564423449EO3OtherWIBC/BS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29567WIMDAddiction Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285672360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W COVENTRY CT",
            "address_2": "SUITE 209",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173972",
            "telephone_number": "414-351-7726",
            "fax_number": "414-351-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W COVENTRY CT",
            "address_2": "SUITE 209",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532173972",
            "telephone_number": "414-351-7726",
            "fax_number": "414-351-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINABURY",
        "first_name": "VIRGINIA",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "WI",
            "license": "29567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31434700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "3564423449EO3",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

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.

Verify at the official NPI Registry.