Individual provider Active NPI

Linnea Marie Axman, DRPH, DNP, MSN, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarkdale, AZ
National Provider Identifier
1508814468
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
248672 Issued in AZ
Practice address
250 Quail Run CT
Clarkdale, AZ 86324-3013
Phone
(928) 488-1037
Fax
(619) 223-7186
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704118112 MI
Family Nurse Practitioner 363LF0000X 787483 CA
Family Nurse Practitioner 363LF0000X 248672 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 248672 AZ Primary

Addresses

Primary practice location

250 Quail Run CT
Clarkdale, AZ 86324-3013

Mailing address

250 Quail Run CT
Clarkdale, AZ 86324-3013
Phone (619) 813-5732

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
787483CAMDFamily Nurse Practitioner
4704118112MIMDFamily Nurse Practitioner
248672AZMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: linnea.axman.1@32434.direct.athenahealth.com
  • Direct secure messaging: linnea.axman.1@17924.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1508814468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 QUAIL RUN CT",
            "city": "CLARKDALE",
            "state": "AZ",
            "postal_code": "863243013",
            "telephone_number": "619-813-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 QUAIL RUN CT",
            "city": "CLARKDALE",
            "state": "AZ",
            "postal_code": "863243013",
            "telephone_number": "928-488-1037",
            "fax_number": "619-223-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXMAN",
        "first_name": "LINNEA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DRPH, DNP, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704118112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "787483",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "248672",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "248672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.