Sullanni Lyn-Waugh

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

912224 Issued in NY

Practice address

7 N 9TH Ave
Mount Vernon, NY 10550-1916

Phone

(646) 730-4920

NPI assigned

Dec 6, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1144097544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N 9TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N 9TH AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105501916",
            "telephone_number": "646-730-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYN-WAUGH",
        "first_name": "SULLANNI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "912224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lower Westchester Medical Associates, P.C.
• Velda Annette Lowery
• Zinamit Lucksom-Garcia, D.M.D.
• Shaquanna Luker, MASSAGE PRACTITIONER
• Luxottica of America Inc
• Barbara Joy Lynch, FNP
• Neka Lynch
• Trudian Lyon, LMSW
• Shantel Mackey
• Kavita Maddur

• Registered Nurse in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.