Active NPI
Samantha D Lynch, FNP-C
- Nurse Practitioner
- Memphis, TN
National Provider Identifier
1124838982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 33718
- Practice address
- 5959 Park Ave Ste 310
Memphis, TN 38119-5200 - Phone
- (901) 233-1240
- NPI assigned
- Jan 13, 2025
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 33718 | TN | Primary |
Addresses
Primary practice location
5959 Park Ave Ste 310
Memphis, TN 38119-5200
Mailing address
5959 Park Ave Ste 310
Memphis, TN 38119-5200
Phone (901) 233-1240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260616003190 | TN | Order and Referring Only - Family Practice | 0143792671 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33718 | TN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1124838982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 PARK AVE STE 310",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195200",
"telephone_number": "901-233-1240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 PARK AVE STE 310",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195200",
"telephone_number": "901-233-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "SAMANTHA",
"middle_name": "D",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "33718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.