NPIMap

Individual provider Active NPI

Linda M Haggard, PAC

  • Medical Physician Assistant
  • Cottonwood, AZ
National Provider Identifier
1871508655
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3341 Issued in AZ
Practice address
450 S Willard St Ste 101
Cottonwood, AZ 86326-6744
Phone
(928) 284-0166
Fax
(928) 284-1810
NPI assigned
Jul 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3341 AZ
Medical Physician Assistant 363AM0700X 3341 AZ Primary

Addresses

Primary practice location

450 S Willard St Ste 101
Cottonwood, AZ 86326-6744

Mailing address

1146 West South Route 89a
Suite B1
Sedona, AZ 86336-5768
Phone (928) 284-0166

Other identifiers 1

IdentifierTypeStateIssuer
361588MedicaidAZ

Other names 1

  • Linda D Metzler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080714000485 AZ Practitioner - Physician Assistant 4385717016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sedona Integrative Medical Clinic LLCGroup PAC ID 4486704913, 3 clinicians

Practice addresses (Care Compare)

450 S Willard St
Suite 101
Cottonwood, AZ 86326-6744
Phone (928) 284-0166

Hospital & facility affiliations

  • Northern Arizona Home Health Home health agency, Cottonwood, AZ, CCN 037042
  • Angels Care Home Health of Arizona Home health agency, Cottonwood, AZ, CCN 037217
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007
  • Flagstaff Medical Center Hospital, Flagstaff, AZ, CCN 030023
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3341AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Village of Oak Creek Medical Clinic LLC Past Accepting new patients

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1871508655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 WEST SOUTH ROUTE 89A",
            "address_2": "SUITE B1",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365768",
            "telephone_number": "928-284-0166",
            "fax_number": "928-284-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WILLARD ST STE 101",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266744",
            "telephone_number": "928-284-0166",
            "fax_number": "928-284-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGARD",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3341",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361588",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "METZLER",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.