Individual provider Active NPI

Linda Lam, DO

  • Family Medicine Physician
  • Nampa, ID
National Provider Identifier
1427099852
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0656 Issued in ID
Practice address
1510 12TH Ave Rd
Ste 200
Nampa, ID 83686
Phone
(208) 302-6800
Fax
(208) 302-6855
NPI assigned
Jun 9, 2006
Last updated
Nov 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-0656 ID Primary

Addresses

Primary practice location

1510 12TH Ave Rd
Ste 200
Nampa, ID 83686

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 302-6800

Other practice location 1

211 W Iowa Ave
Nampa, ID 83686-2834
Phone (208) 465-7377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120605000389 ID Practitioner - Family Practice 9638173941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
O-0656IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center Nampa, Inc. CurrentSince Nov 17, 2018 Accepting new patients
Saint Alphonsus Specialty Services Inc CurrentSince Nov 17, 2018 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Family Medicine Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

4400 E Flamingo Ave
Ste 100
Nampa, ID 83687
Phone (208) 302-2200

211 W Iowa Ave
Nampa, ID 83686
Phone (208) 315-6717

1510 12th Ave Rd
Ste 200
Nampa, ID 83686
Phone (208) 302-0600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1427099852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-302-6800",
            "fax_number": "208-302-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 12TH AVE RD",
            "address_2": "STE 200",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83686",
            "telephone_number": "208-302-6800",
            "fax_number": "208-302-6855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 W Iowa Ave",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836862834",
            "country_code": "US",
            "telephone_number": "208-465-7377",
            "fax_number": "208-465-7397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "LINDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.