Active NPI
Linda Nichols McEnerney, M.D.
- Pediatric Adolescent Medicine Physician
- Urbana, IL
National Provider Identifier
1871660928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 036.059403
- Practice address
- 601 W Pennsylvania Ave
Urbana, IL 61801-4818 - Phone
- (217) 621-2867
- NPI assigned
- Nov 30, 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 |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 036.059403 | IL | Primary |
Addresses
Primary practice location
601 W Pennsylvania Ave
Urbana, IL 61801-4818
Mailing address
601 W Pennsylvania Ave
Urbana, IL 61801-4818
Phone (217) 621-2867
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 |
|---|---|---|---|
| 036.059403 | IL | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1871660928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W PENNSYLVANIA AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618014818",
"telephone_number": "217-621-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W PENNSYLVANIA AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618014818",
"telephone_number": "217-621-2867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCENERNEY",
"first_name": "LINDA",
"middle_name": "NICHOLS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "IL",
"license": "036.059403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.