Active NPI
Linda Lou Mixter, MSN APRN BC
- Nurse Practitioner
- Ypsilanti, MI
National Provider Identifier
1457325284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704119847
- Practice address
- 5333 McAuley Dr RM 4003
Ypsilanti, MI 48197-1099 - Phone
- (734) 712-3470
- Fax
- (734) 712-2935
- NPI assigned
- Feb 16, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704119847 | MI | Primary |
Addresses
Primary practice location
5333 McAuley Dr RM 4003
Ypsilanti, MI 48197-1099
Mailing address
5333 McAuley Dr RM 4003
Ypsilanti, MI 48197-1099
Phone (734) 712-3470
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704119847 | MI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1457325284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR RM 4003",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971099",
"telephone_number": "734-712-3470",
"fax_number": "734-712-2935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR RM 4003",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971099",
"telephone_number": "734-712-3470",
"fax_number": "734-712-2935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIXTER",
"first_name": "LINDA",
"middle_name": "LOU",
"name_prefix": "Ms.",
"credential": "MSN APRN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-16",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704119847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.