Active NPI
Linda L Callahan, R.N., CRNA, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Klamath Falls, OR
National Provider Identifier
1578712568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 201150122NP
- Practice address
- 409 Pine St Ste 200
Klamath Falls, OR 97601-6020 - Phone
- (541) 887-8103
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 201060027 CRNA | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 19687 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 1669 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 201150122NP | OR | Primary |
Addresses
Primary practice location
409 Pine St Ste 200
Klamath Falls, OR 97601-6020
Mailing address
PO Box 1359
Klamath Falls, OR 97601-0075
Phone (541) 882-1540
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1669 | CA | MD | Massage Therapist |
| 201150122NP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| 201060027 CRNA | OR | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1578712568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1359",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976010075",
"telephone_number": "541-882-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 PINE ST STE 200",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976016020",
"telephone_number": "541-887-8103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "LINDA",
"middle_name": "L",
"credential": "R.N., CRNA, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201060027 CRNA",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "19687",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "1669",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "201150122NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.