Linda Ann Bombolino, RN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

233761-1 Issued in NY

Practice address

20 Community LN
Liberty, NY 12754-2851

Phone

(845) 292-8770

Fax

(845) 292-4298

NPI assigned

Jul 1, 2008

Last updated

Jul 1, 2008By the provider in NPPES

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

Other names 1

• Ms. Linda Ann Sommer,Foster,Ratner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1952563850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CEDAR PARK COMMONS",
            "address_2": "#17",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127012585",
            "telephone_number": "845-794-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMUNITY LN",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127542851",
            "telephone_number": "845-292-8770",
            "fax_number": "845-292-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBOLINO",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "233761-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SOMMER,FOSTER,RATNER",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dinker Harilal Bhatt, MSW
• Big Bear Physical Therapy
• Mackenzie Biro, LMSW
• Barbara Blakey, CCC
• Eric Dana Boles, LMHC
• Brighter Futures ABA
• Ilyce S Brinn, M.S. CCC-SLP
• Marissa Ann Burgio, MSCCC-SLP
• Valerie E Burns, MSW
• Gregory Jeff Buteau, PHARMD

• Licensed Practical Nurse in Liberty, NY
• Providers in Liberty, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.