Individual provider Active NPI

Linda Jean Kirkpatrick, RDH-BS

  • Dental Hygienist
  • Lac Du Flambeau, WI
National Provider Identifier
1811287402
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2822 Issued in WI
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

LicenseStateTypeSpecialty
2822WIMDRegistered Dietitian

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2822 WI Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.