Individual provider Active NPI

Linda C Sachsdebold, RN

  • Community Health Registered Nurse
  • Dardenne Prairie, MO
National Provider Identifier
1568059525
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
2015007708 Issued in MO
Practice address
24 Sophie Dr
Dardenne Prairie, MO 63368-7580
Phone
(314) 605-3946
NPI assigned
Dec 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC1500X 2015007708 MO Primary

Addresses

Primary practice location

24 Sophie Dr
Dardenne Prairie, MO 63368-7580

Mailing address

24 Sophie Dr
Dardenne Prairie, MO 63368-7580
Phone (314) 605-3946

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
2015007708MOMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1568059525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SOPHIE DR",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633687580",
            "telephone_number": "314-605-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SOPHIE DR",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633687580",
            "telephone_number": "314-605-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHSDEBOLD",
        "first_name": "LINDA",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "MO",
            "license": "2015007708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardenne Prairie, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.