NPIMap

Individual provider Active NPI

Linda G Harris, CRNA

  • Certified Registered Nurse Anesthetist
  • Mayfield, KY
National Provider Identifier
1750376729
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
378A Issued in KY
Practice address
1029 Medical Dr
Mayfield, KY 42066-4072
Phone
(270) 748-6891
Fax
(270) 554-8103
NPI assigned
Sep 15, 2005
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 378A KY Primary

Addresses

Primary practice location

1029 Medical Dr
Mayfield, KY 42066-4072

Mailing address

950 Berger Road
Paducah, KY 42003
Phone (270) 748-6891

Other practice location 1

131 Hospital Dr
Salem, KY 42078-8043
Phone (270) 988-2299

Other identifiers 2

IdentifierTypeStateIssuer
74176629MedicaidKY
2604043000MedicaidWV

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
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
378KYMDSocial Worker
378AKYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Anesthesia Group PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
Lourdes Ambulatory Surgery Center, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Outpatient Anesthesia of Southwest Florida Inc PastSince Jan 1, 2013 Accepting new patients
Anesthesia & Pain Consultants of SW FL PastSince Jan 1, 2019 Accepting new patients
Poplar Bluff Regional Medical Center LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Appalachian Regional Healthcare, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Amsol Anesthetists of Illinois, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Miller Anesthesia Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1750376729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 BERGER ROAD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-748-6891",
            "fax_number": "270-554-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 MEDICAL DR",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420664072",
            "telephone_number": "270-748-6891",
            "fax_number": "270-554-8103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "KY",
            "postal_code": "420788043",
            "country_code": "US",
            "telephone_number": "270-988-2299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LINDA",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "378A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74176629",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2604043000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.