Active NPI
Linda M Wimmer, RN
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Denville, NJ
National Provider Identifier
1639196066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- 26N009704800
- Practice address
- 40 Morris Ave
Saint Clares Hospital Behavioral Health
Denville, NJ 07834 - Phone
- (973) 586-7450
- Fax
- (973) 586-7457
- NPI assigned
- Jul 15, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 26N009704800 | NJ | Primary |
Addresses
Primary practice location
40 Morris Ave
Saint Clares Hospital Behavioral Health
Denville, NJ 07834
Mailing address
8 Read Rd
Succasonna, NJ 07876
Phone (973) 252-9175
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26N009704800 | NJ | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639196066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 READ RD",
"city": "SUCCASONNA",
"state": "NJ",
"postal_code": "07876",
"telephone_number": "973-252-9175",
"fax_number": "973-586-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MORRIS AVE",
"address_2": "SAINT CLARES HOSPITAL BEHAVIORAL HEALTH",
"city": "DENVILLE",
"state": "NJ",
"postal_code": "07834",
"telephone_number": "973-586-7450",
"fax_number": "973-586-7457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMMER",
"first_name": "LINDA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NJ",
"license": "26N009704800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.