Active NPI
Linda S Luce, HEALTHCARE PROVIDER
- Community Health Worker
- Toledo, OH
National Provider Identifier
1942483557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 172V00000X
- Practice address
- 1223 Ellis Ave
Toledo, OH 43605-3013 - Phone
- (419) 705-0667
- NPI assigned
- Dec 6, 2007
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 172V00000X | OH | Primary |
Addresses
Primary practice location
1223 Ellis Ave
Toledo, OH 43605-3013
Mailing address
1223 Ellis Ave
Toledo, OH 43605-3013
Phone (419) 705-0667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2722100 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172V00000X | OH | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1942483557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 ELLIS AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436053013",
"telephone_number": "419-705-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 ELLIS AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436053013",
"telephone_number": "419-705-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCE",
"first_name": "LINDA",
"middle_name": "S",
"name_prefix": "Miss",
"credential": "HEALTHCARE PROVIDER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "172V00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2722100",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.