Active NPI
Debra Lin
- Health Educator
- Redondo Beach, CA
National Provider Identifier
1619564127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 2310 Artesia Blvd
Redondo Beach, CA 90278-3114 - Phone
- (310) 372-2063
- NPI assigned
- Dec 30, 2020
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
2310 Artesia Blvd
Redondo Beach, CA 90278-3114
Mailing address
1610 Mackay LN
Redondo Beach, CA 90278-3719
Phone (424) 262-9968
Other names 1
- Debbie Lin
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinected Body, Inc. | Health Educator | Current | Accepting new patients |
Locations
2310 Artesia Blvd
Redondo Beach, CA 90278
Phone (310) 371-2063
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 and National Provider Directory roles.
-
- Health Educator
- Redondo Beach, CA
- NPI 1790372340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1619564127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 MACKAY LN",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783719",
"telephone_number": "424-262-9968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 ARTESIA BLVD",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902783114",
"telephone_number": "310-372-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "DEBRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBBIE",
"last_name": "LIN",
"credential": "NCPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.