Individual provider Active NPI

Linda D Cromwell, B.S.N., R.N., P.H.N

  • Community Health/Public Health Clinical Nurse Specialist
  • South Lake Tahoe, CA
National Provider Identifier
1538296330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X
License
385076 Issued in CA
Practice address
981 Silver Dollar Ave
Suite 1
South Lake Tahoe, CA 96150-7761
Phone
(530) 573-3274
Fax
(530) 541-2803
NPI assigned
Feb 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health/Public Health Clinical Nurse Specialist 364SC1501X 385076 CA Primary

Addresses

Primary practice location

981 Silver Dollar Ave
Suite 1
South Lake Tahoe, CA 96150-7761

Mailing address

2031 Nez Perce Dr
South Lake Tahoe, CA 96150-5358
Phone (530) 543-6867

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
385076CAMDCommunity Health/Public Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538296330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 NEZ PERCE DR",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961505358",
            "telephone_number": "530-543-6867",
            "fax_number": "530-541-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 SILVER DOLLAR AVE",
            "address_2": "SUITE 1",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507761",
            "telephone_number": "530-573-3274",
            "fax_number": "530-541-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMWELL",
        "first_name": "LINDA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "B.S.N., R.N., P.H.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "CA",
            "license": "385076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.