Active NPI
Lynette Y. Zills, M.D.
- Family Medicine Physician
- Springfield, IL
National Provider Identifier
1114028107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.35499
- Practice address
- 1025 S 6TH St
Springfield, IL 62703-2403 - Phone
- (217) 528-7541
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-086942 | IL | |
| Family Medicine Physician | 207Q00000X | MD.35499 | AL | Primary |
Addresses
Primary practice location
1025 S 6TH St
Springfield, IL 62703-2403
Mailing address
7191 Cahaba Valley Rd
Birmingham, AL 35242-6443
Phone (205) 408-2365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036086942 | Medicaid | IL |
Other names 1
- Lynette Y. McBride
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161115001464 | AL | Practitioner - Family Practice | 5092735522 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.35499 | AL | MD | Family Medicine Physician |
| 036-086942 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent'S Urgent Care LLC | Current | Accepting new patients | |
| Vincentian Physician Services LLC | Family Medicine | Current | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
1944 28th Ave S
Homewood, AL 35209
Phone (205) 408-2366
7191 Cahaba Valley Rd
Hoover, AL 35242
Phone (205) 408-6555
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1851698310
AL, Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1114028107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7191 CAHABA VALLEY RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352426443",
"telephone_number": "205-408-2365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032403",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZILLS",
"first_name": "LYNETTE",
"middle_name": "Y.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-086942",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "MD.35499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036086942",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNETTE",
"last_name": "MCBRIDE",
"middle_name": "Y.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.