Active NPI
Christopher Robert Lynch, CST,CSFA, RN
- Surgical Assistant
- Fort Worth, TX
National Provider Identifier
1114044542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 151900
- Practice address
- 4216 SW Loop 820
Fort Worth, TX 76109-5350 - Phone
- (817) 852-6927
- Fax
- (817) 531-2939
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 808232 | TX | |
| Surgical Assistant | 246ZC0007X | 151900 | Primary | |
| Surgical Technologist | 246ZS0410X | 100964 |
Addresses
Primary practice location
4216 SW Loop 820
Fort Worth, TX 76109-5350
Mailing address
PO Box 101292
Fort Worth, TX 76185-1292
Phone (817) 852-6927
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100964 | Other | CST,CFA | |
| 808232 | Other | TX | RN |
| 151900 | Other | CST/CSFA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 808232 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1114044542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101292",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761851292",
"telephone_number": "817-852-6927",
"fax_number": "817-531-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4216 SW LOOP 820",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761095350",
"telephone_number": "817-852-6927",
"fax_number": "817-531-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "CHRISTOPHER",
"middle_name": "ROBERT",
"credential": "CST,CSFA, RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "808232",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": "151900",
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": "100964",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CST,CFA",
"identifier": "100964",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "808232",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CST/CSFA",
"identifier": "151900",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.