Active NPI
Lynda McDonald
- Urgent Care Clinic/Center
- Flint, MI
National Provider Identifier
1104273929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 4704246414
- Legal business name
- LYNDA MCDONALD
- Practice address
- 5365 E Carpenter Rd
Flint, MI 48506-4515 - Phone
- (810) 407-8336
- NPI assigned
- May 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynda M McDonald, FNP
- Title
- Nurse Practitioner
- Phone
- (810) 407-8336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 4704246414 | MI | Primary |
Addresses
Primary practice location
5365 E Carpenter Rd
Flint, MI 48506-4515
Mailing address
5365 E Carpenter Rd
Flint, MI 48506-4515
Phone (810) 407-8336
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704246414 | Other | MI | NURSING LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469577600000",
"number": "1104273929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5365 E CARPENTER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485064515",
"telephone_number": "810-407-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5365 E CARPENTER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "485064515",
"telephone_number": "810-407-8336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNDA MCDONALD",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-23",
"last_updated": "2016-07-27",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "LYNDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "810-407-8336",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "MI",
"license": "4704246414",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "4704246414",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.