Active NPI
Lynne Vance, LAC
- Acupuncturist
- Glen Mills, PA
National Provider Identifier
1053700534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AK001121
- Practice address
- 500 Evergreen Dr
Suite 22
Glen Mills, PA 19342-1032 - Phone
- (610) 358-8822
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN665301 | PA | |
| Acupuncturist | 171100000X | AK001121 | PA | Primary |
Addresses
Primary practice location
500 Evergreen Dr
Suite 22
Glen Mills, PA 19342-1032
Mailing address
500 Evergreen Dr
Suite 22
Glen Mills, PA 19342-1032
Phone (610) 358-8822
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 |
|---|---|---|---|
| RN665301 | PA | MD | Registered Nurse |
| AK001121 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1053700534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 EVERGREEN DR",
"address_2": "SUITE 22",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421032",
"telephone_number": "610-358-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 EVERGREEN DR",
"address_2": "SUITE 22",
"city": "GLEN MILLS",
"state": "PA",
"postal_code": "193421032",
"telephone_number": "610-358-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "LYNNE",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-21",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN665301",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK001121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Mills, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.