Julissa L Lynn

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R80717 Issued in AR

Practice address

105 Centerview CT
Searcy, AR 72143

Phone

(501) 593-3893

NPI assigned

Feb 27, 2014

Last updated

Feb 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1003231093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CENTERVIEW CT",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721438975",
            "telephone_number": "501-593-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CENTERVIEW CT",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "501-593-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "JULISSA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R80717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE NUMBER",
            "identifier": "9125572174",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Middlecoff Luthe
• Annie T Luy, M.D.
• Michaela Lyle, DPT
• Cody Ray Lynch, PHARMD
• Thaddeus David Lynch, PT
• Yolanda Madar, MS,CCC-SLP
• Carley Ann Madden, APRN
• Gail Madill
• Jonathan Daniel Madill, LPC
• Mary Elizabeth Madill, P.A.

• Registered Nurse in Searcy, AR
• Providers in Searcy, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.