Active NPI
Linda L Harrah, CRNA
- Certified Registered Nurse Anesthetist
- Florence, OR
National Provider Identifier
1316979735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 90007606
- Practice address
- 400 9TH St
Florence, OR 97439-7398 - Phone
- (541) 902-6140
- Fax
- (541) 902-7533
- NPI assigned
- Jul 7, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 90007606 | OR | Primary |
Addresses
Primary practice location
400 9TH St
Florence, OR 97439-7398
Mailing address
PO Box 24410
Eugene, OR 97402-0451
Phone (541) 902-6140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90007606 | Other | OR | STATE LICENSE |
| 022940 | Medicaid | OR |
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
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90007606 | OR | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1316979735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24410",
"city": "EUGENE",
"state": "OR",
"postal_code": "974020451",
"telephone_number": "541-902-6140",
"fax_number": "541-902-7533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 9TH ST",
"city": "FLORENCE",
"state": "OR",
"postal_code": "974397398",
"telephone_number": "541-902-6140",
"fax_number": "541-902-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRAH",
"first_name": "LINDA",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "90007606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "90007606",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022940",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.