Kerry Ellen Lindgren, RN,PHN, CREDSCHNURSE

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

180017457 Issued in CA

Practice address

930 Westacre Rd
West Sacramento, CA 95691-3224

Phone

(916) 588-8382

NPI assigned

Mar 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kerry Ellen Thomas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Washington Unified School District

  • Local Education Agency (LEA)
  • West Sacramento, CA
  • NPI 1295959591
  NPD (past)

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1740748284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 WESTACRE RD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913224",
            "telephone_number": "916-588-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WESTACRE RD",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956913224",
            "telephone_number": "916-588-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDGREN",
        "first_name": "KERRY",
        "middle_name": "ELLEN",
        "credential": "RN,PHN, CREDSCHNURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "790772",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "180017457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "THOMAS",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lifeline E-Transport LLC
• Neal Liggins
• Tina Lilliedoll
• Yi-Chern Lin
• Kevin C Lindblom, PT
• Sorren Lindstrom
• Ashley Linstrom
• Alice Liu-Nguyen
• Bo Liu
• Live Well Medical Center Inc.

• School Registered Nurse in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• School Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.