Individual provider Active NPI

Linda Noll Demas, M.S.N., APRN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Old Saybrook, CT
National Provider Identifier
1669519724
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
000778 Issued in CT
Practice address
8 Ridge Dr
Old Saybrook, CT 06475-4227
Phone
(860) 388-3166
Fax
(860) 388-3167
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 000778 CT Primary

Addresses

Primary practice location

8 Ridge Dr
Old Saybrook, CT 06475-4227

Mailing address

8 Ridge Dr So
Old Saybrook, CT 06475-4227
Phone (860) 388-3166

Other names 1

  • Ms. Linda Noll Demas Professional 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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
000778CTMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669519724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 RIDGE DR SO",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754227",
            "telephone_number": "860-388-3166",
            "fax_number": "860-388-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RIDGE DR",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754227",
            "telephone_number": "860-388-3166",
            "fax_number": "860-388-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAS",
        "first_name": "LINDA",
        "middle_name": "NOLL",
        "name_prefix": "Ms.",
        "credential": "M.S.N., APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CT",
            "license": "000778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "DEMAS",
            "middle_name": "NOLL",
            "prefix": "MS.",
            "credential": "M.S.N., APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Old Saybrook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.