Active NPI
Linda Rae Wyatt, ARNP
- Adult Health Nurse Practitioner
- Ossipee, NH
National Provider Identifier
1699829804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 025749-23-05
- Practice address
- 127 Route 28
Ossipee, NH 03864-7300 - Phone
- (603) 539-7552
- Fax
- (603) 539-6186
- NPI assigned
- Jan 23, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 025749-23-05 | NH | Primary |
Addresses
Primary practice location
127 Route 28
Ossipee, NH 03864-7300
Mailing address
362 Knights Hill Rd
Sweden, ME 04040-5512
Phone (207) 647-3634
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699829804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 KNIGHTS HILL RD",
"city": "SWEDEN",
"state": "ME",
"postal_code": "040405512",
"telephone_number": "207-647-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 ROUTE 28",
"city": "OSSIPEE",
"state": "NH",
"postal_code": "038647300",
"telephone_number": "603-539-7552",
"fax_number": "603-539-6186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "LINDA",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NH",
"license": "025749-23-05",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ossipee, NH
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.