Active NPI
Annette M Frechette-Lynn, PA
- Medical Physician Assistant
- Tampa, FL
National Provider Identifier
1023591674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9111545
- Practice address
- 3345 S Dale Mabry Hwy
Tampa, FL 33629-7817 - Phone
- (813) 234-0100
- NPI assigned
- Sep 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9111545 | FL | |
| Physician Assistant | 363A00000X | PA9111545 | FL | |
| Medical Physician Assistant | 363AM0700X | PA9111545 | FL | Primary |
Addresses
Primary practice location
3345 S Dale Mabry Hwy
Tampa, FL 33629-7817
Mailing address
13020 N Telecom Pkwy
Temple Terrace, FL 33637-0925
Phone (813) 978-9700
Other practice location 1
560 S Lakewood Dr Ste 101
Brandon, FL 33511-5016
Phone (813) 978-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9111545 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainier Emergency Physicians LLC | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- annette.frechette-lynn.1@26845.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Plant City, FL
- NPI 1508275447
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1023591674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13020 N TELECOM PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370925",
"telephone_number": "813-978-9700",
"fax_number": "813-558-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 S DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336297817",
"telephone_number": "813-234-0100"
}
],
"practiceLocations": [
{
"address_1": "560 S Lakewood Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115016",
"country_code": "US",
"telephone_number": "813-978-9700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRECHETTE-LYNN",
"first_name": "ANNETTE",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9111545",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9111545",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9111545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.