Individual provider Active NPI

Linda Jennifer Geverts, NP

  • Family Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1285780296
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6739 Issued in CA
Practice address
4555 Precissi LN
Stockton, CA 95207-6239
Phone
(209) 477-4103
Fax
(209) 477-1065
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6739 CA Primary

Addresses

Primary practice location

4555 Precissi LN
Stockton, CA 95207-6239

Mailing address

1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3619

Other practice location 1

415 W Benjamin Holt Dr
D-2
Stockton, CA 95207-3958
Phone (209) 477-4103

Other names 1

  • Linda Geverts Scott 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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6739CAMDSpeech-Language Assistant

Interoperability endpoints

  • Direct secure messaging: linda.geverts.p1@direct.fpawomenshealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1285780296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-795-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 PRECISSI LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076239",
            "telephone_number": "209-477-4103",
            "fax_number": "209-477-1065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 W Benjamin Holt Dr",
            "address_2": "D-2",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952073958",
            "country_code": "US",
            "telephone_number": "209-477-4103",
            "fax_number": "209-477-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEVERTS",
        "first_name": "LINDA",
        "middle_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "6739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SCOTT",
            "middle_name": "GEVERTS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.