Individual provider Active NPI

Linda Christine Hartman, RN, CDE, BSN

  • Community Health Registered Nurse
  • Malin, OR
National Provider Identifier
1679603286
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
Practice address
35243 Malin Loop Rd
Malin, OR 97632-9733
Phone
(541) 331-3615
Fax
(541) 723-4380
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X OR Primary

Addresses

Primary practice location

35243 Malin Loop Rd
Malin, OR 97632-9733

Mailing address

35243 Malin Loop Rd
Malin, OR 97632-9733
Phone (541) 331-3615

Other identifiers 1

IdentifierTypeStateIssuer
097118OtherORDMAP GRP#

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
091000418RNORMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679603286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35243 MALIN LOOP RD",
            "city": "MALIN",
            "state": "OR",
            "postal_code": "976329733",
            "telephone_number": "541-331-3615",
            "fax_number": "541-723-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35243 MALIN LOOP RD",
            "city": "MALIN",
            "state": "OR",
            "postal_code": "976329733",
            "telephone_number": "541-331-3615",
            "fax_number": "541-723-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "LINDA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "RN, CDE, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMAP GRP#",
            "identifier": "097118",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malin, OR

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.

Verify at the official NPI Registry.