Active NPI
Lyndzie Nicole Moyer
- Behavior Technician
- Lincoln, NE
National Provider Identifier
1033718523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20-141850
- Practice address
- 1540 S 70TH St Ste 200
Lincoln, NE 68506-1575 - Phone
- (402) 318-3105
- Fax
- (402) 318-3677
- NPI assigned
- Oct 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 20-141850 | NE | Primary |
Addresses
Primary practice location
1540 S 70TH St Ste 200
Lincoln, NE 68506-1575
Mailing address
1622 1St Ave
Nebraska City, NE 68410-2206
Phone (402) 209-4899
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-141850 | NE | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Spectrum Solutions LLC | Behavior Technician | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1033718523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1622 1ST AVE",
"city": "NEBRASKA CITY",
"state": "NE",
"postal_code": "684102206",
"telephone_number": "402-209-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 S 70TH ST STE 200",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061575",
"telephone_number": "402-318-3105",
"fax_number": "402-318-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYER",
"first_name": "LYNDZIE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NE",
"license": "20-141850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.