Individual provider Active NPI

Linda Jean Fuller-Brown, MD

  • Psychiatry Physician
  • North Las Vegas, NV
National Provider Identifier
1760543276
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C50966 Issued in CA
Practice address
7436 Chipping Sparrow St
North Las Vegas, NV 89084-4808
Phone
(702) 217-9904
NPI assigned
Dec 12, 2006
Last updated
May 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C50966 CA Primary

Addresses

Primary practice location

7436 Chipping Sparrow St
North Las Vegas, NV 89084-4808

Mailing address

7436 Chipping Sparrow St
North Las Vegas, NV 89084-4808
Phone (702) 217-9904

Other names 1

  • Linda Jean White Former name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C50966CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1760543276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7436 CHIPPING SPARROW ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844808",
            "telephone_number": "702-217-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7436 CHIPPING SPARROW ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844808",
            "telephone_number": "702-217-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER-BROWN",
        "first_name": "LINDA",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C50966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "WHITE",
            "middle_name": "JEAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.