Active NPI
Linda F Elmore
- Other Technician
- Dade City, FL
National Provider Identifier
1376765347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 300101041159907
- Practice address
- 12649 US Hwy 301
Dade City, FL 33525 - Phone
- (352) 523-2930
- Fax
- (352) 523-2936
- NPI assigned
- May 2, 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 300101041159907 | FL | Primary |
Addresses
Primary practice location
12649 US Hwy 301
Dade City, FL 33525
Mailing address
PO Box 1107
Lacoochee, FL 33537
Phone (352) 583-0576
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300101041159907 | FL | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376765347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1107",
"city": "LACOOCHEE",
"state": "FL",
"postal_code": "33537",
"telephone_number": "352-583-0576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12649 US HWY 301",
"city": "DADE CITY",
"state": "FL",
"postal_code": "33525",
"telephone_number": "352-523-2930",
"fax_number": "352-523-2936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMORE",
"first_name": "LINDA",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "FL",
"license": "300101041159907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.