Individual provider Active NPI

Linda Le Khamsone, FNP

  • Family Nurse Practitioner
  • Clovis, CA
National Provider Identifier
1609567866
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025156 Issued in CA
Practice address
726 N Medical Center Dr E Ste 205
Clovis, CA 93611-6886
Phone
(559) 900-3045
NPI assigned
May 18, 2023
Last updated
May 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95025156 CA Primary

Addresses

Primary practice location

726 N Medical Center Dr E Ste 205
Clovis, CA 93611-6886

Mailing address

726 N Medical Center Dr E Ste 205
Clovis, CA 93611-6886
Phone (559) 900-3045

Other names 1

  • Linda Le Former name

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

State licenses

LicenseStateTypeSpecialty
95025156CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amar Siddique MD Inc CurrentSince May 21, 2023 Accepting new patients

Locations

726 N Medical Center Dr E
Ste 205
Clovis, CA 93611
Phone (559) 545-5896

4910 E Ashlan Ave
Ste 116
Fresno, CA 93726
Phone (559) 228-2990

5606 E Kings Canyon Rd
Fresno, CA 93727

7235 N 1st St
Ste 103
Fresno, CA 93720
Phone (559) 432-2600

1521 N Schnoor Ave
Ste 103
Madera, CA 93637

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1609567866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 N MEDICAL CENTER DR E STE 205",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116886",
            "telephone_number": "559-900-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 N MEDICAL CENTER DR E STE 205",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116886",
            "telephone_number": "559-900-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMSONE",
        "first_name": "LINDA",
        "middle_name": "LE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "LE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.