Audra Renata Linck, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M5745 Issued in TX

Practice address

11955 Dallas Parkway
Suite 400
Frisco, TX 75033

Phone

(214) 396-5200

Fax

(214) 504-1796

NPI assigned

Dec 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pediatricpeople@ppp-tx.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Pediatric People PLLC

  • Clinic/Center
  • Frisco, TX
  • NPI 1457691248
  NPD (past) Authorized official

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1811053580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11955 DALLAS PARKWAY",
            "address_2": "SUITE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75033",
            "telephone_number": "214-396-5200",
            "fax_number": "214-504-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11955 DALLAS PARKWAY",
            "address_2": "SUITE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75033",
            "telephone_number": "214-396-5200",
            "fax_number": "214-504-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCK",
        "first_name": "AUDRA",
        "middle_name": "RENATA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M5745",
            "primary": true
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "TX",
            "license": "M5745",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V0288",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caryl Lim, RN, FNP
• Ej Lim, L.AC, DACM
• Lima East Anesthesia PLLC
• Angela Lima
• Edward L. Lin, M.D.
• Maxine Jamie Lindauer, LPC
• Jasmine Linder, BCBA
• Mellie Lindskog, RN
• Lindy'S Legacy
• Ashley Monet Linnear, DNP, APRN,CPNP-PC

• Pediatrics Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.