Anita G Linder

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

27075 Issued in SC

Practice address

125 Alpine Circle
Cola, SC 29223

Phone

(803) 779-3548

Fax

(803) 779-7055

NPI assigned

Mar 1, 2006

Last updated

Sep 26, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1558338459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ALPINE CIRCLE",
            "city": "COLA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "803-779-3548",
            "fax_number": "803-779-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALPINE CIRCLE",
            "city": "COLA",
            "state": "SC",
            "postal_code": "29223",
            "telephone_number": "803-779-3548",
            "fax_number": "803-779-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDER",
        "first_name": "ANITA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "27075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0500",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caroline L Gibbes
• Physician Services LLC

• Adult Health Nurse Practitioner in Cola, SC
• Providers in Cola, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.