Individual provider Active NPI

Kristen Marie Linnell, PHYSICIAN ASSISTANT

  • Obstetrics & Gynecology Physician
  • Annapolis, MD
National Provider Identifier
1992955900
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C0002592 Issued in MD
Practice address
2000 Medical Parkway Suite 310
Health Sciences Pavilion
Annapolis, MD 21041
Phone
(410) 266-7755
Fax
(410) 266-1141
NPI assigned
Sep 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002592 MD
Obstetrics & Gynecology Physician 207V00000X C0002592 MD Primary

Addresses

Primary practice location

2000 Medical Parkway Suite 310
Health Sciences Pavilion
Annapolis, MD 21041

Mailing address

2000 Medical Parkway Suite 310
Health Sciences Pavilion
Annapolis, MD 21041
Phone (410) 266-7755

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002592MDMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315785600000",
    "number": "1992955900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PARKWAY SUITE 310",
            "address_2": "HEALTH SCIENCES PAVILION",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21041",
            "telephone_number": "410-266-7755",
            "fax_number": "410-266-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PARKWAY SUITE 310",
            "address_2": "HEALTH SCIENCES PAVILION",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21041",
            "telephone_number": "410-266-7755",
            "fax_number": "410-266-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINNELL",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2011-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002592",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "C0002592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.