Individual provider Active NPI

Linda Lou Ann Hallam, RN

  • Registered Nurse
  • Butler, MO
National Provider Identifier
1508256942
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2014021302 Issued in MO
Practice address
501 N Orange St
Butler, MO 64730-1325
Phone
(660) 679-6108
Fax
(660) 679-6022
NPI assigned
Jan 23, 2015
Last updated
Jan 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2014021302 MO Primary

Addresses

Primary practice location

501 N Orange St
Butler, MO 64730-1325

Mailing address

501 N Orange St
P O Box 178
Butler, MO 64730-1325
Phone (660) 679-6108

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2014021302MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bates County Health Center Past Accepting new patients
Butler-Davidson Counseling Services Past Accepting new patients

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, 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": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1508256942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N ORANGE ST",
            "address_2": "P O BOX 178",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301325",
            "telephone_number": "660-679-6108",
            "fax_number": "660-679-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N ORANGE ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301325",
            "telephone_number": "660-679-6108",
            "fax_number": "660-679-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLAM",
        "first_name": "LINDA",
        "middle_name": "LOU ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2014021302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.