1730613209 NPI number — LINDA M BIRKEMEIER MS, RDN, LD, CDCES

NPI Number: 1730613209
Health Care Provider/Practitioner: LINDA M BIRKEMEIER MS, RDN, LD, CDCES

NPI Number : 1730613209 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730613209",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BIRKEMEIER",
    "FirstName": "LINDA",
    "MiddleName": "M",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "MS, RDN, LD, CDCES",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CARDINAL",
    "OtherFirstName": "LINDA",
    "OtherMiddleName": "M",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MS, RDN, LD, CDCES",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "737 DAYBREAK DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AVON",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46123-9858",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "215-292-2364",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1111 RONALD REAGAN PKWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AVON",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46123-7085",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "215-292-2364",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/12/2017",
    "LastUpdateDate": "07/30/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "146",
          "LicenseNumberStateCode": "WY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "37004070A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}