Linda J Dries, MS, APRN, BC-ADM

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

041.145507 Issued in IL

Practice address

1415 E State St
Suite 700
Rockford, IL 61104-2333

Phone

(815) 489-4396

Fax

(815) 967-5404

NPI assigned

Jun 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1942437785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E STATE ST",
            "address_2": "SUITE 700",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042333",
            "telephone_number": "815-489-4396",
            "fax_number": "815-967-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E STATE ST",
            "address_2": "SUITE 700",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042333",
            "telephone_number": "815-489-4396",
            "fax_number": "815-967-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIES",
        "first_name": "LINDA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MS, APRN, BC-ADM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "041.145507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drake Healthcare SC
• Douglas Drake
• Marissa Dreger, PA
• Beth A Drennen, LCSW
• Alison Jean Drerup
• Eva K Drinka, M.D.
• Jessica Lee Driscoll, PTA
• Jennifer Droke, P.T.A.
• DRS. Srivastava S.C.
• Janlynn Druce Jones, LCPC

• Clinical Nurse Specialist in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.