Basic Information
Provider Information | |||||||||
NPI: | 1023430865 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | NAPIER | ||||||||
FirstName: | LINDA | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | APRN | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | PO BOX 820 | ||||||||
Address2: |   | ||||||||
City: | PUTNEY | ||||||||
State: | VT | ||||||||
PostalCode: | 053460820 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8023876753 | ||||||||
FaxNumber: | 8023871644 | ||||||||
Practice Location | |||||||||
Address1: | 322 MAIN ST FL 3 | ||||||||
Address2: |   | ||||||||
City: | BAR HARBOR | ||||||||
State: | ME | ||||||||
PostalCode: | 046091648 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2072888604 | ||||||||
FaxNumber: | 2072888602 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 01/14/2014 | ||||||||
LastUpdateDate: | 10/26/2018 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | Y | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SF0001X | 101.0100142 | VT | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Family Health |
ID Information
ID | Type | State | Issuer | Description | CNP161007 | 01 | ME | STATE LICENSE | OTHER |