Individual provider Active NPI

Lynn Marie Troncale, LPRN

  • Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1083259089
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11003897 Issued in FL
Practice address
748 Harrison Ave
Panama City, FL 32401-2524
Phone
(850) 767-4777
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11003897 FL Primary

Addresses

Primary practice location

748 Harrison Ave
Panama City, FL 32401-2524

Mailing address

PO Box 1430
Lynn Haven, FL 32444-6230
Phone (850) 767-4777

Other practice location 1

12216 Panama City Beach Pkwy Ste B
Panama City, FL 32407-2728
Phone (850) 236-0488

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11003897FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Group PastSince Nov 17, 2019 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson PastSince Nov 17, 2019 Accepting new patients
Future Pediatrics, LLC PastSince Nov 17, 2019 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25087/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1083259089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324446230",
            "telephone_number": "850-767-4777",
            "fax_number": "850-763-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012524",
            "telephone_number": "850-767-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12216 Panama City Beach Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324072728",
            "country_code": "US",
            "telephone_number": "850-236-0488",
            "fax_number": "850-234-3304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRONCALE",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "LPRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11003897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.