Active NPI
Linda Jean Kirkpatrick, RDH-BS
- Dental Hygienist
- Lac Du Flambeau, WI
National Provider Identifier
1811287402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2822
- Practice address
- 450 Old Abe Rd
Lac Du Flambeau, WI 54538-9682 - Phone
- (715) 588-4280
- Fax
- (715) 588-2269
- NPI assigned
- Apr 15, 2011
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2822 | WI | MD | Registered Dietitian |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2822 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
450 Old Abe Rd
Lac Du Flambeau, WI 54538-9682
Mailing address
129 Old Abe Rd
Lac Du Flambeau, WI 54538-9386
Phone (715) 588-4280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2011.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1811287402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 OLD ABE RD",
"city": "LAC DU FLAMBEAU",
"state": "WI",
"postal_code": "545389386",
"telephone_number": "715-588-4280",
"fax_number": "715-588-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 OLD ABE RD",
"city": "LAC DU FLAMBEAU",
"state": "WI",
"postal_code": "545389682",
"telephone_number": "715-588-4280",
"fax_number": "715-588-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKPATRICK",
"first_name": "LINDA",
"middle_name": "JEAN",
"credential": "RDH-BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "2822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lac Du Flambeau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.