Active NPI
Linda Lou Proctor, R.N.
- Registered Nurse
- Odessa, MO
National Provider Identifier
1558640334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2000146034
- Practice address
- 1278 Old US 40 Hwy
Odessa, MO 64076 - Phone
- (816) 633-5921
- Fax
- (816) 633-7942
- NPI assigned
- Aug 10, 2011
- Last updated
- Aug 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2000146034 | MO | Primary |
Addresses
Primary practice location
1278 Old US 40 Hwy
Odessa, MO 64076
Mailing address
1416 Oo Hwy
Odessa, MO 64076-6440
Phone (816) 565-3384
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000146034 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1558640334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 OO HWY",
"city": "ODESSA",
"state": "MO",
"postal_code": "640766440",
"telephone_number": "816-565-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1278 OLD US 40 HWY",
"city": "ODESSA",
"state": "MO",
"postal_code": "64076",
"telephone_number": "816-633-5921",
"fax_number": "816-633-7942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROCTOR",
"first_name": "LINDA",
"middle_name": "LOU",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-10",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2000146034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, MO
- Odessa Medical Clinic, PC (Bradley L Zink DO)
- Odessa Pediatric Dental Care (Treetop Pediatric Dentistry Odessa)
- Odessa SNF Opco LLC (Odessa Health Care Center)
- Emmaline Owen
- Carrie Parrish, COTA
- Kayla Jo Rains, LCSW
- Judith L. Raugewitz, COTA/L
- Richard K Raugewitz, P.T.
- Restorative Nutrition LLC
- Amy Jeffries Riddell, PLPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.