Linda L Dodge, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

86175 Issued in MA

Practice address

85 Prescott St
Suite 304
Worcester, MA 01605-2610

Phone

(508) 753-7259

Fax

(508) 753-9577

NPI assigned

Aug 30, 2006

Last updated

May 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Saint Vincent Physician Services, Inc.

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1013997329

  Nurse Practitioner

  NPD (past)
• Wayne B Glazier MD PC

  • Urology Physician
  • Worcester, MA
  • NPI 1982713251
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1699885772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST",
            "address_2": "SUITE 304",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052610",
            "telephone_number": "508-753-7259",
            "fax_number": "508-753-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST",
            "address_2": "SUITE 304",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052610",
            "telephone_number": "508-753-7259",
            "fax_number": "508-753-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "LINDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "86175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0354503",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelina Libera Docimo, M.S.
• Dominique Matica Dockery, MD
• Dodge Park at Home
• Dodge Park LLC (Dodge Park Rest Home)
• Dodge Park Rest Home Inc.
• Robyn Dodge
• Hannah Dodier
• Kasia S Dodman, NP
• Florence J Doe, DOULA
• Adam Doerr, MD

• Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.