Individual provider Active NPI

Lyn Morgan Hrivnak, RN IBCLC LICENSED LC

  • Lactation Consultant (Registered Nurse)
  • Kingsland, GA
National Provider Identifier
1063902344
Registry record updated May 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
RN262102 Issued in GA
Practice address
116 Brookshire CT
Kingsland, GA 31548-3807
Phone
(704) 466-5542
NPI assigned
May 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X LC000039 GA
Lactation Consultant (Registered Nurse) 163WL0100X RN262102 GA Primary

Addresses

Primary practice location

116 Brookshire CT
Kingsland, GA 31548-3807

Mailing address

116 Brookshire CT
Kingsland, GA 31548-3807
Phone (704) 466-5542

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
LC000039GAMDLactation Consultant (Registered Nurse)
RN262102GAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526169600000",
    "number": "1063902344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BROOKSHIRE CT",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315483807",
            "telephone_number": "704-466-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BROOKSHIRE CT",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315483807",
            "telephone_number": "704-466-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRIVNAK",
        "first_name": "LYN",
        "middle_name": "MORGAN",
        "credential": "RN IBCLC LICENSED LC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2018-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "LC000039",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "GA",
            "license": "RN262102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2018; 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.