Active NPI
Linda B Light, DVM
- Veterinarian
- Suwanee, GA
National Provider Identifier
1578865473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 5760
- Practice address
- 1145 Peachtree Industrial Blvd
Suite B-7
Suwanee, GA 30024-4054 - Phone
- (770) 614-4000
- NPI assigned
- Nov 27, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 5760 | GA | Primary |
Addresses
Primary practice location
1145 Peachtree Industrial Blvd
Suite B-7
Suwanee, GA 30024-4054
Mailing address
1145 Peachtree Industrial Blvd
Suite B-7
Suwanee, GA 30024-4054
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290816000000",
"number": "1578865473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 PEACHTREE INDUSTRIAL BLVD",
"address_2": "SUITE B-7",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 PEACHTREE INDUSTRIAL BLVD",
"address_2": "SUITE B-7",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244054",
"telephone_number": "770-614-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHT",
"first_name": "LINDA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-27",
"last_updated": "2010-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "GA",
"license": "5760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.