Individual provider Active NPI

Linsey Blain

  • Family Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1376045443
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902489 Issued in MS
Practice address
394 Courthouse Rd Ste a
Gulfport, MS 39507
Phone
(228) 896-4417
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 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 902489 MS Primary

Addresses

Primary practice location

394 Courthouse Rd Ste a
Gulfport, MS 39507

Mailing address

394 Courthouse Rd Ste a
Gulfport, MS 39507-1866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181024001749 MS Practitioner - Nurse Practitioner 5294088076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Sep 24, 2018 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Precision Medical Care LLC CurrentSince May 22, 2023 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Sep 24, 2018 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

3155 Channing Way
Ste A
Idaho Falls, ID 83404
Phone (208) 227-0551

3155 Channing Way
Idaho Falls, ID 83404
Phone (801) 699-6344

3820 Crestwood Ln
Idaho Falls, ID 83404
Phone (208) 552-7700

2965 E Tarpon Dr
Ste 110
Meridian, ID 83642
Phone (208) 617-6455

2771 Pass Rd
Ste A
Biloxi, MS 39531
Phone (228) 385-4645

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

394 Courthouse Rd
Ste A
Gulfport, MS 39507
Phone (228) 896-4414

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

12261 Highway 49
Ste 11
Gulfport, MS 39503
Phone (228) 575-2176

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1376045443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 COURTHOUSE RD STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 COURTHOUSE RD STE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39507",
            "telephone_number": "228-896-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIN",
        "first_name": "LINSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.