Individual provider Active NPI

Lynette M Roush, MS, RN, ACNS-BC

  • Medical-Surgical Registered Nurse
  • Lewis Center, OH
National Provider Identifier
1013229566
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
RN-278780 Issued in OH
Practice address
3539 Pine Ridge Dr
Lewis Center, OH 43035-9360
Phone
(614) 527-1375
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN-278780 OH Primary
Medical-Surgical Registered Nurse 163WM0705X NS-10477 CNS OH

Addresses

Primary practice location

3539 Pine Ridge Dr
Lewis Center, OH 43035-9360

Mailing address

3539 Pine Ridge Dr
Lewis Center, OH 43035-9360
Phone (614) 527-1375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NS-10477 CNSOHMDMedical-Surgical Registered Nurse
RN-278780OHMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1013229566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 PINE RIDGE DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359360",
            "telephone_number": "614-527-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3539 PINE RIDGE DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359360",
            "telephone_number": "614-527-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "LYNETTE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MS, RN, ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "RN-278780",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OH",
            "license": "NS-10477 CNS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

Verify at the official NPI Registry.