Active NPI
Linda Ann Caccamo, CRNA
- Certified Registered Nurse Anesthetist
- Easton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN620353
- Practice address
- 250 S 21St St
Easton, PA 18042-3851 - Phone
- (610) 250-4300
- Fax
- (610) 250-4804
- NPI assigned
- Jun 30, 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0017904 | DE | |
| Registered Nurse | 163W00000X | 041399722 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | L6-0A00150 | DE | |
| Certified Registered Nurse Anesthetist | 367500000X | 209009608 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | RN1035967 | DC | |
| Certified Registered Nurse Anesthetist | 367500000X | 4704282528 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | RN620353 | PA | Primary |
Addresses
Primary practice location
250 S 21St St
Easton, PA 18042-3851
Mailing address
100 Witmer Rd
Ste 220
Horsham, PA 19044-2279
Phone (215) 442-5000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102681818 | Medicaid | PA | |
| P00962403 | Other | PA | RAILROAD MEDICARE |
| 193850801 | Medicaid | TX | |
| 89164U | Other | TX | BCBS |
Other names 1
- Linda Ann Smack
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA, DC, CA, TN
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Milford St
Salisbury, MD 21804-6952
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0017904 | DE | MD | Registered Nurse |
| 041399722 | IL | MD | Registered Nurse |
| 209009608 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesiology Associates of TN PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hazleton Anesthesia Services, P.C. | Current | Accepting new patients | |
| Anesthesia Services of San Joaquin, P.C. | Current | Accepting new patients | |
| Pinnacle Mid-Atlantic Pain Medicine, PC | Past | Accepting new patients | |
| Tippecanoe Anesthesia Services LLC | Past | Accepting new patients | |
| First State Anesthesia Services LLC | Past | Accepting new patients |
Locations
7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
50 Moisey Dr
Ste 100
Hazle Township, PA 18202
Phone (570) 501-6500
700 E Broad St
Hazleton, PA 18201
Phone (570) 501-4000
1265 Union Ave
Ste 201
Memphis, TN 38104
Phone (901) 516-7000
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Hazleton, PA
- NPI 1073841698
-
- Anesthesiology Physician
- French Camp, CA
- NPI 1366778227
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1316724073
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Havertown, PA
- NPI 1174799340
-
- Anesthesiology Physician
- Newark, DE
- NPI 1902950603
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1033488283
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atlantic General Hospital Corp
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1336178755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WITMER RD",
"address_2": "STE 220",
"city": "HORSHAM",
"state": "PA",
"postal_code": "190442279",
"telephone_number": "215-442-5000",
"fax_number": "215-957-2875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 S 21ST ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180423851",
"telephone_number": "610-250-4300",
"fax_number": "610-250-4804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACCAMO",
"first_name": "LINDA",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0017904",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041399722",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DE",
"license": "L6-0A00150",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209009608",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "DC",
"license": "RN1035967",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704282528",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN620353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102681818",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00962403",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193850801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "89164U",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "SMACK",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.