Linda May Dale, LINDA DALE – Physician Assistant

Key facts

NPI: 1508069626
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: PA10003455 (WA)
Practice address: 246 N Mission St
Wenatchee, WA 98801-2004
Phone: (509) 662-1955
NPI assigned: Jun 6, 2007
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

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.

Anovaworks, PLLC Occupational Medicine Clinic/Center · Wenatchee, WA · NPI 1922589852

NPD (past)
Cascade Womens Healthcare Obstetrics & Gynecology Physician · Yakima, WA · NPI 1063540094

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Anovaworks, PLLC		Past	Accepting new patients
Cascade Womens Healthcare		Past	Accepting new patients

Interoperability endpoints

FHIR API: https://api.platform.athenahealth.com/2640/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	PA10003455	WA	Yes

Addresses

Primary practice location

246 N Mission St
Wenatchee, WA 98801-2004

Mailing address

622 Pickens Rd
Yakima, WA 98908-1841
Phone (509) 965-0203

Other names

Linda M Dale Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508069626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 PICKENS RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989081841",
            "telephone_number": "509-965-0203",
            "fax_number": "509-965-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 N MISSION ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012004",
            "telephone_number": "509-662-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "LINDA",
        "middle_name": "MAY",
        "credential": "LINDA DALE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "DALE",
            "middle_name": "M",
            "credential": "LINDA DALE, PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wenatchee, WA

All providers in Wenatchee, WA · Physician Assistant in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.