Individual provider Active NPI

Linda F Kortbein, RN

  • Registered Nurse
  • Crandon, WI
National Provider Identifier
1689803116
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
84251 030 Issued in WI
Practice address
3163 State Hwy 55
Crandon, WI 54520-0275
Phone
(715) 478-5180
Fax
(715) 478-5904
NPI assigned
Jul 6, 2009
Last updated
Jul 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 84251 030 WI Primary

Addresses

Primary practice location

3163 State Hwy 55
Crandon, WI 54520-0275

Mailing address

3163 State Hwy 55
Crandon, WI 54520-0275
Phone (715) 478-5180

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

LicenseStateTypeSpecialty
84251 030WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sokaogon Chippewa Community Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73753

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1689803116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3163 STATE HWY 55",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545200275",
            "telephone_number": "715-478-5180",
            "fax_number": "715-478-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 STATE HWY 55",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545200275",
            "telephone_number": "715-478-5180",
            "fax_number": "715-478-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTBEIN",
        "first_name": "LINDA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "84251  030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crandon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.