Individual provider Active NPI

Kenisha Linton

  • Psychiatric/Mental Health Nurse Practitioner
  • Scranton, PA
National Provider Identifier
1821733304
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP025270 Issued in PA
Practice address
851 Commerce Blvd
Scranton, PA 18519-1759
Phone
(570) 489-5561
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP025270 PA Primary

Addresses

Primary practice location

851 Commerce Blvd
Scranton, PA 18519-1759

Mailing address

320 Shawnee Valley Dr
East Stroudsburg, PA 18302-7799
Phone (718) 514-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aaron Center, Inc. CurrentSince Nov 29, 2022 Accepting new patients
Hamidian Training Institute PastSince Aug 2, 2020 Accepting new patients

Locations

116 Larch St
Ste 300
Scranton, PA 18509

851 Commerce Blvd
Ste 107
Scranton, PA 18519
Phone (570) 302-4242

851 Commerce Blvd
Scranton, PA 18519
Phone (570) 220-1908

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1821733304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SHAWNEE VALLEY DR",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183027799",
            "telephone_number": "718-514-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 COMMERCE BLVD",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185191759",
            "telephone_number": "570-489-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTON",
        "first_name": "KENISHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP025270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.