Active NPI
Linda Joy Zandstra, RN
- Registered Nurse
- St. John, IN
National Provider Identifier
1932521762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 28172280A
- Practice address
- 8400 Wicker Ave
Lake Central High School
St. John, IN 46373 - Phone
- (219) 365-8551
- NPI assigned
- Jan 14, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28172280A | IN | Primary |
Addresses
Primary practice location
8400 Wicker Ave
Lake Central High School
St. John, IN 46373
Mailing address
8260 Wicker Ave.
Lake Central School Corporation
Saint John, IN 46373
Phone (219) 365-8507
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28172280A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Central School Corporation | Past | Accepting new patients | |
| Lake Central School Corporation | 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.
-
- Local Education Agency (LEA)
- Saint John, IN
- NPI 1609143585
-
- Pediatric Physical Therapist
- Saint John, IN
- NPI 1841627866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1932521762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8260 WICKER AVE.",
"address_2": "LAKE CENTRAL SCHOOL CORPORATION",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "46373",
"telephone_number": "219-365-8507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 WICKER AVE",
"address_2": "LAKE CENTRAL HIGH SCHOOL",
"city": "ST. JOHN",
"state": "IN",
"postal_code": "46373",
"telephone_number": "219-365-8551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANDSTRA",
"first_name": "LINDA",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28172280A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. John, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.