=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780660605
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LIN XU CRNA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/22/2005
-----------------------------------------------------
Last Update Date | 04/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3651 COLLEGE BLVD
-----------------------------------------------------
City | LEAWOOD
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66211-1910
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-338-4100
-----------------------------------------------------
Fax | 913-428-2951
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8717 W 110TH ST STE 600
-----------------------------------------------------
City | OVERLAND PARK
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66210-2126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 913-428-2900
-----------------------------------------------------
Fax | 913-428-2951
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 367500000X
-----------------------------------------------------
Taxonomy Name | Certified Registered Nurse Anesthetist
-----------------------------------------------------
License Number | 55101
-----------------------------------------------------
License Number State | KS
-----------------------------------------------------