Active NPI
Linda Diane Gilson, ANP
- Adult Health Nurse Practitioner
- Ketchikan, AK
National Provider Identifier
1972810281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0043
- Practice address
- 212 Carlanna Lake Rd
100
Ketchikan, AK 99901-5658 - Phone
- (907) 228-8140
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0043 | AK | Primary |
Addresses
Primary practice location
212 Carlanna Lake Rd
100
Ketchikan, AK 99901-5658
Mailing address
3857 Fairview Ave
Ketchikan, AK 99901-5335
Phone (907) 225-2343
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 |
|---|---|---|---|
| 0043 | AK | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1972810281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3857 FAIRVIEW AVE",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015335",
"telephone_number": "907-225-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 CARLANNA LAKE RD",
"address_2": "100",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015658",
"telephone_number": "907-228-8140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILSON",
"first_name": "LINDA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AK",
"license": "0043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.