Diana Lynn, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021720 Issued in CA

Practice address

2617 Explorer CV
Port Hueneme, CA 93041-1555

Phone

(918) 703-0624

NPI assigned

Dec 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

May MD IncGroup PAC ID 4486054574, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• May MD Inc.

  • Surgery Physician
  • Culver City, CA
  • NPI 1467037382
  Medicare reassignment Care Compare group NPD
• Dietz Regenerative Health Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Ventura, CA
  • NPI 1174402010
  Medicare reassignment
• Global Wound Care Medical Group

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1235831132
  NPD

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1104537869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 EXPLORER CV",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930411555",
            "telephone_number": "918-703-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 EXPLORER CV",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930411555",
            "telephone_number": "918-703-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "DIANA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "843584",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca Estela Lemus
• Jason Lim, LCSW
• Longs Drug Stores California LLC
• Adrian Elenes Lopez
• Merle Gene Lopez Jr., PT
• Andrea Magana, REGISTERED DIETITIAN
• Arbel Maghsoodpour, DDS
• Angel James Martens
• Athena Dionne Martinez
• Carlos Roberto Martinez, I.D.C.

• Family Nurse Practitioner in Port Hueneme, CA
• Providers in Port Hueneme, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.