Individual provider Active NPI

Linda T Eibel, NP

  • Family Nurse Practitioner
  • Pascoag, RI
National Provider Identifier
1386657096
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNPP31551 Issued in RI
Practice address
36 Bridge Way
Pascoag, RI 02859-3131
Phone
(401) 568-7661
Fax
(401) 568-7949
NPI assigned
Aug 14, 2006
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNPP31551 RI Primary
Women's Health Nurse Practitioner 363LW0102X NPP31551 RI
Women's Health Nurse Practitioner 363LW0102X CNPP31551 RI
Registered Nurse 163W00000X RN31551 RI

Addresses

Primary practice location

36 Bridge Way
Pascoag, RI 02859-3131

Mailing address

PO Box 312
Pascoag, RI 02859-0312
Phone (401) 568-7661

Other identifiers 3

IdentifierTypeStateIssuer
4129OtherRINEIGHBORHOOD HEALTH PLAN
LE45969MedicaidRI
409754OtherBLUE CHIP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20040920000206 RI Practitioner - Nurse Practitioner 9830167741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Community Health CareGroup PAC ID 1355250663, 35 clinicians

Practice addresses (Care Compare)

35 Village Plaza Way
1 53 Village Plaza Way Units 12 and 13
North Scituate, RI 02857-1849
Phone (401) 647-6262

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN31551RIMDRegistered Nurse
CNPP31551RIMDWomen's Health Nurse Practitioner
NPP31551RIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Community Health Care CurrentSince May 1, 2011 Accepting new patients
Northwest Community Health Care CurrentSince May 1, 2011 Accepting new patients
Planned Parenthood of Southern New England, Inc. PastSince Apr 15, 2017 Accepting new patients
Northwest Community Health Care Past Accepting new patients
Planned Parenthood of Southern New England Past Accepting new patients

Locations

36 Bridge Way
Pascoag, RI 02859
Phone (401) 567-0800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11510/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1386657096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028590312",
            "telephone_number": "401-568-7661",
            "fax_number": "401-568-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BRIDGE WAY",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028593131",
            "telephone_number": "401-568-7661",
            "fax_number": "401-568-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EIBEL",
        "first_name": "LINDA",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "CNPP31551",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "RI",
            "license": "NPP31551",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "RI",
            "license": "CNPP31551",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN31551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "4129",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LE45969",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "409754",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascoag, RI

Sources for this page

Verify at the official NPI Registry.