Active NPI
Lindy Oubre, IDC
- Independent Duty Corpsman
- Quincy, MA
National Provider Identifier
1740840313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- Practice address
- 85 Sea St
Quincy, MA 02169-2572 - Phone
- (617) 753-4600
- NPI assigned
- Jun 17, 2019
- 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 |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | Primary |
Addresses
Primary practice location
85 Sea St
Quincy, MA 02169-2572
Mailing address
15167 Farmington CT
Hesperia, CA 92345-4867
Phone (760) 628-8218
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | AMRDECSAFE |
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": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1740840313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15167 FARMINGTON CT",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923454867",
"telephone_number": "760-628-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SEA ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021692572",
"telephone_number": "617-753-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUBRE",
"first_name": "LINDY",
"credential": "IDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "AMRDECSAFE",
"affiliation": "N",
"address_1": "85 Sea St",
"city": "Quincy",
"state": "MA",
"country_code": "US",
"postal_code": "021692572",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quincy, MA
- Cailin Christine Oster, PTA
- Janet E Osterman, MD
- Marissa Lee Osterman, DPT
- Mark Stephan Ostrem, MD
- Stuart G. Ostroff, RPH
- Lhassane Oumalek, PMHNP-BC
- Heather T Outlaw
- Outreach Behavioral Health and Wellness Center Inc.
- Outreach Behavioral Health and Wellness Center LLC
- Danielle Louise Owen, LCSW, LADCI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.