Individual provider Active NPI

Lynette Fay Brown, BSN, RN

  • Family Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1114413846
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71689 Issued in NM
Practice address
136 E South Temple Ste 1400
Salt Lake City, UT 84111-1143
Phone
(385) 258-2751
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00168855 WA
Physical Medicine & Rehabilitation Physician 208100000X 71689 NM
Family Nurse Practitioner 363LF0000X 71689 NM Primary

Addresses

Primary practice location

136 E South Temple Ste 1400
Salt Lake City, UT 84111-1143

Mailing address

136 E South Temple Ste 1400
Salt Lake City, UT 84111-1143
Phone (385) 258-2751

Other names 1

  • Lynette Fay Hammer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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

Enrollment IDStateProvider typePAC IDDetails
I20230413002747 NM Practitioner - Nurse Practitioner 5294100723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Mexico Center for Pain and Wellness, LLCGroup PAC ID 7214391366, 23 clinicians

Practice addresses (Care Compare)

6330 Riverside Plaza LN NW
Suite 100
Albuquerque, NM 87120-2682
Phone (505) 322-6687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00168855WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Rehabilitation Physicians LLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2023 Accepting new patients
Colorado Center for Pain and Wellness, PLLC Physical Medicine & Rehabilitation CurrentSince Mar 20, 2025 Accepting new patients
New Mexico Center for Pain and Wellness, LLC Physical Medicine & Rehabilitation CurrentSince Feb 7, 2024 Accepting new patients
Frontier Behavioral Health Family PastSince Sep 18, 2025 Accepting new patients

Locations

6330 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 322-6687

10101 Lagrima de Oro Rd NE
Albuquerque, NM 87111
Phone (505) 298-1231

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1114413846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 E SOUTH TEMPLE STE 1400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111143",
            "telephone_number": "385-258-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E SOUTH TEMPLE STE 1400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111143",
            "telephone_number": "385-258-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LYNETTE",
        "middle_name": "FAY",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00168855",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NM",
            "license": "71689",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "71689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "HAMMER",
            "middle_name": "FAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.