Individual provider Active NPI

Linda Childers, APN

  • Obstetrics & Gynecology Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1437295243
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
6460 Issued in TN
Practice address
6215 Humphreys Blvd
Suite 401
Memphis, TN 38120-2367
Phone
(901) 767-8448
Fax
(901) 684-6260
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 6460 TN Primary

Addresses

Primary practice location

6215 Humphreys Blvd
Suite 401
Memphis, TN 38120-2367

Mailing address

8110 N Brother Blvd Ste 200
Bartlett, TN 38133-2760
Phone (901) 255-5221

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6460TNMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Obstetrics and Gynecological Association PC PastSince Jul 15, 1993 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: linda.childers.1@16415.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4

Organizations & group practices 1

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1437295243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 N BROTHER BLVD STE 200",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332760",
            "telephone_number": "901-255-5221",
            "fax_number": "901-373-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 HUMPHREYS BLVD",
            "address_2": "SUITE 401",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202367",
            "telephone_number": "901-767-8448",
            "fax_number": "901-684-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "LINDA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TN",
            "license": "6460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.