Active NPI
Linda Ann Rundstrom, LPN
- Licensed Practical Nurse
- South Hero, VT
National Provider Identifier
1689006389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 025.0006218
- Practice address
- 38 Whipple Road
Blanchard Residence
South Hero, VT 05486 - Phone
- (802) 372-4020
- NPI assigned
- Aug 5, 2013
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 025.0006218 | VT | Primary |
Addresses
Primary practice location
38 Whipple Road
Blanchard Residence
South Hero, VT 05486
Mailing address
777 Swamp Rd
Fairfield, VT 05455-5480
Phone (802) 782-3718
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
| License | State | Type | Specialty |
|---|---|---|---|
| 025.0006218 | VT | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1689006389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 SWAMP RD",
"city": "FAIRFIELD",
"state": "VT",
"postal_code": "054555480",
"telephone_number": "802-782-3718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 WHIPPLE ROAD",
"address_2": "BLANCHARD RESIDENCE",
"city": "SOUTH HERO",
"state": "VT",
"postal_code": "05486",
"telephone_number": "802-372-4020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNDSTROM",
"first_name": "LINDA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-05",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "VT",
"license": "025.0006218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Hero, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.