Active NPI
Linda W Brinkman
- Registered Dietitian
- Sugar Grove, IL
National Provider Identifier
1861027666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 437352
- Practice address
- 3S854 Finley Rd
Sugar Grove, IL 60554 - Phone
- (630) 557-2297
- NPI assigned
- Mar 12, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164.004594 | IL | |
| Registered Dietitian | 133V00000X | 081212 | IA | |
| Registered Dietitian | 133V00000X | 2915-29 | WI | |
| Registered Dietitian | 133V00000X | 437352 | Primary |
Addresses
Primary practice location
3S854 Finley Rd
Sugar Grove, IL 60554
Mailing address
3S854 Finley Rd
Sugar Grove, IL 60554
Phone (630) 557-2297
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 |
|---|---|---|---|
| 081212 | IA | MD | Registered Dietitian |
| 164.004594 | IL | MD | Registered Dietitian |
| 2915-29 | WI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583971200000",
"number": "1861027666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3S854 FINLEY RD",
"city": "SUGAR GROVE",
"state": "IL",
"postal_code": "60554",
"telephone_number": "630-557-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3S854 FINLEY RD",
"city": "SUGAR GROVE",
"state": "IL",
"postal_code": "60554",
"telephone_number": "630-557-2297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINKMAN",
"first_name": "LINDA",
"middle_name": "W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-12",
"last_updated": "2020-03-12",
"certification_date": "2020-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "164.004594",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "081212",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "2915-29",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "437352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.