Active NPI
Kelly Linebaugh, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1720108848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN000741
- Practice address
- 1501 W. Commerce Court
Cope Community Services, Inc.
Tucson, AZ 85746 - Phone
- (520) 741-3180
- Fax
- (520) 807-2383
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN000741 | NV | Primary |
Addresses
Primary practice location
1501 W. Commerce Court
Cope Community Services, Inc.
Tucson, AZ 85746
Mailing address
82 South Stone Avenue
Cope Community Services, Inc.
Tucson, AZ 85701
Phone (520) 792-3293
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN000741 | NV | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cope Community Services, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Tucson, AZ
- NPI 1336863695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1720108848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 SOUTH STONE AVENUE",
"address_2": "COPE COMMUNITY SERVICES, INC.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85701",
"telephone_number": "520-792-3293",
"fax_number": "520-792-4336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 W. COMMERCE COURT",
"address_2": "COPE COMMUNITY SERVICES, INC.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85746",
"telephone_number": "520-741-3180",
"fax_number": "520-807-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINEBAUGH",
"first_name": "KELLY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NV",
"license": "APN000741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.