Active NPI
Linda L Shelburne, NP
- Nurse Practitioner
- Hyannis, MA
National Provider Identifier
1346277167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 173418
- Practice address
- 35 Cedar St
Cape Cod Internal Medicine WM N Fenney MD
Hyannis, MA 02601 - Phone
- (508) 778-6363
- Fax
- (508) 778-6674
- NPI assigned
- Jun 27, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 173418 | MA | Primary |
Addresses
Primary practice location
35 Cedar St
Cape Cod Internal Medicine WM N Fenney MD
Hyannis, MA 02601
Mailing address
PO Box 160
Sandwich, MA 02563-0160
Phone (508) 888-5817
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6169295 | Medicaid | MA | |
| NP3169 | Other | BC |
Other names 1
- Linda Grantham
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
| License | State | Type | Specialty |
|---|---|---|---|
| 173418 | MA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1346277167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025630160",
"telephone_number": "508-888-5817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 CEDAR ST",
"address_2": "CAPE COD INTERNAL MEDICINE WM N FENNEY MD",
"city": "HYANNIS",
"state": "MA",
"postal_code": "02601",
"telephone_number": "508-778-6363",
"fax_number": "508-778-6674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELBURNE",
"first_name": "LINDA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "173418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6169295",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "NP3169",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "GRANTHAM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.