Individual provider Active NPI

Mary Lynn Flint Herrera, RN

  • Occupational Health Registered Nurse
  • Lancaster, CA
National Provider Identifier
1104574557
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Registered NurseTaxonomy code 163WX0106X
License
95245818 Issued in CA
Practice address
335 E Avenue I
Lancaster, CA 93535-1916
Phone
(661) 471-4342
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Registered Nurse 163WX0106X 95245818 CA Primary

Addresses

Primary practice location

335 E Avenue I
Lancaster, CA 93535-1916

Mailing address

45800 Challenger Way SPC 215
Lancaster, CA 93535-1419
Phone (661) 268-9092

Other names 1

  • Mary Lynn Flint Former name

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
95245818CAMDOccupational Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1104574557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45800 CHALLENGER WAY SPC 215",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351419",
            "telephone_number": "661-268-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E AVENUE I",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935351916",
            "telephone_number": "661-471-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT HERRERA",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "CA",
            "license": "95245818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FLINT",
            "middle_name": "LYNN",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.