Active NPI
Serena Lynch, CPM, LM
- Lay Midwife
- Duluth, MN
National Provider Identifier
1114459062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- License
- 1053
- Practice address
- 205 W 2ND St Ste 337
Duluth, MN 55802-1928 - Phone
- (218) 576-5439
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | 1053 | MN | Primary |
Addresses
Primary practice location
205 W 2ND St Ste 337
Duluth, MN 55802-1928
Mailing address
205 W 2ND St Ste 337
Duluth, MN 55802-1928
Phone (218) 576-5439
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1053 | MN | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1114459062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W 2ND ST STE 337",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021928",
"telephone_number": "218-576-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W 2ND ST STE 337",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021928",
"telephone_number": "218-576-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "SERENA",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "MN",
"license": "1053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.