Individual provider Active NPI

Linda Faye McCrary, BSN, MN, MSN

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1952422180
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN054448 Issued in GA
Practice address
3050 Regent Blvd
Suite 400
Irving, TX 75063-3196
Phone
(214) 689-3674
Fax
(866) 541-3009
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN054448 GA Primary

Addresses

Primary practice location

3050 Regent Blvd
Suite 400
Irving, TX 75063-3196

Mailing address

3050 Regent Blvd
Suite 400
Irving, TX 75063-3196
Phone (214) 689-3674

Other identifiers 1

IdentifierTypeStateIssuer
RN054448OtherGAGEORGIA BOARD OF NURSING

Other names 1

  • Linda Faye Lynch (Maiden Name) Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN054448GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1952422180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 REGENT BLVD",
            "address_2": "SUITE 400",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633196",
            "telephone_number": "214-689-3674",
            "fax_number": "866-541-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 REGENT BLVD",
            "address_2": "SUITE 400",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633196",
            "telephone_number": "214-689-3674",
            "fax_number": "866-541-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "LINDA",
        "middle_name": "FAYE",
        "credential": "BSN, MN, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN054448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF NURSING",
            "identifier": "RN054448",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "LYNCH (MAIDEN NAME)",
            "middle_name": "FAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.