Active NPI
Linda J Biddison, AP RN, BC
- Nurse Practitioner
- Springfield, IL
National Provider Identifier
1326069014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Practice address
- 2524 Farragut Dr # C
Springfield, IL 62704-8400 - Phone
- (217) 698-3505
- Fax
- (217) 698-3502
- NPI assigned
- Jul 21, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | IL | Primary |
Addresses
Primary practice location
2524 Farragut Dr # C
Springfield, IL 62704-8400
Mailing address
9138 N Timber LN
Peoria, IL 61615-1449
Phone (309) 691-7879
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005832068 | Other | IL | BC BS GROUP |
| 1326069014 | Other | IL | NPI INDIVIDUAL |
| P00301784 | Other | IL | INDIVIDUAL RR MEDICARE NO |
| 1528084266 | Other | IL | GROUP NPI |
| DE5770 | Other | IL | RR MEDICARE GROUP |
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209001972 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Wound Care LLC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Springfield, IL
- NPI 1528084266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1326069014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9138 N TIMBER LN",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151449",
"telephone_number": "309-691-7879",
"fax_number": "217-872-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2524 FARRAGUT DR # C",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627048400",
"telephone_number": "217-698-3505",
"fax_number": "217-698-3502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDDISON",
"first_name": "LINDA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "AP RN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS GROUP",
"identifier": "0005832068",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI INDIVIDUAL",
"identifier": "1326069014",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL RR MEDICARE NO",
"identifier": "P00301784",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1528084266",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP",
"identifier": "DE5770",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.