Active NPI
Tracey R Burton-Lindner, MD
- Pediatrics Physician
- Niceville, FL
National Provider Identifier
1831169838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0060775
- Practice address
- 1001 W College Blvd
Suite C
Niceville, FL 32578 - Phone
- (850) 678-9009
- Fax
- (850) 678-9009
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0060775 | FL | Primary |
Addresses
Primary practice location
1001 W College Blvd
Suite C
Niceville, FL 32578
Mailing address
1001 College Blvd W Ste C
Niceville, FL 32578-1049
Phone (850) 678-9009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25242 | Other | BLUE SHIELD | |
| 375291700 | Medicaid | FL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0060775 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracey R Burton Lindner MD PA Dba | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Niceville, FL
- NPI 1982696589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1831169838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 COLLEGE BLVD W STE C",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325781049",
"telephone_number": "850-678-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W COLLEGE BLVD",
"address_2": "SUITE C",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "32578",
"telephone_number": "850-678-9009",
"fax_number": "850-678-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON-LINDNER",
"first_name": "TRACEY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0060775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "25242",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375291700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.