Individual provider Active NPI

Linda Willett, PH.D

  • Specialist
  • Hopkinsville, KY
National Provider Identifier
1881880011
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
KY0925 Issued in KY
Practice address
538A Noel Ave
Hopkinsville, KY 42240-1386
Phone
(270) 886-0667
Fax
(270) 874-2158
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X KY0925 KY Primary

Addresses

Primary practice location

538A Noel Ave
Hopkinsville, KY 42240-1386

Mailing address

538A Noel Ave
PO Box 327
Hopkinsville, KY 42240-1386
Phone (270) 886-0667

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
KY0925KYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1881880011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538A NOEL AVE",
            "address_2": "PO BOX 327",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401386",
            "telephone_number": "270-886-0667",
            "fax_number": "270-874-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538A NOEL AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401386",
            "telephone_number": "270-886-0667",
            "fax_number": "270-874-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLETT",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "KY0925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.