Active NPI
Lynn Johnson, RNC, MS, OGNP
- Obstetrics & Gynecology Nurse Practitioner
- Hicksville, NY
National Provider Identifier
1114080975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- F360324-1
- Practice address
- 400 S Oyster Bay Rd
Suite 106
Hicksville, NY 11801-3500 - Phone
- (516) 937-3881
- NPI assigned
- Dec 19, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F360324-1 | NY | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | F360324-1 | NY | Primary |
Addresses
Primary practice location
400 S Oyster Bay Rd
Suite 106
Hicksville, NY 11801-3500
Mailing address
8 Seitz Dr
Bethpage, NY 11714-6017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F360324-1 | Other | NY | LICENSE |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F360324-1 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1114080975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SEITZ DR",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117146017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S OYSTER BAY RD",
"address_2": "SUITE 106",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118013500",
"telephone_number": "516-937-3881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LYNN",
"credential": "RNC, MS, OGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F360324-1",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NY",
"license": "F360324-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "F360324-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.