Active NPI
Amy E Lynch, PNP
- Pediatric Nurse Practitioner
- Andover, MA
National Provider Identifier
1184789422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN217868
- Practice address
- Andover Pediatrics Npi 1548393176
203 Turnpike St, Suite 200
Andover, MA 01845 - Phone
- (978) 475-4522
- Fax
- (978) 688-6047
- NPI assigned
- Dec 27, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Clinical Nurse Specialist | 364SP0200X | RN217868 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | RN217868 | MA | Primary |
| Pediatric Clinical Nurse Specialist | 364SP0200X | 217868 | MA |
Addresses
Primary practice location
Andover Pediatrics Npi 1548393176
203 Turnpike St, Suite 200
Andover, MA 01845
Mailing address
Andover Pediatrics Npi 1548393176
203 Turnpike St, Suite 200
Andover, MA 01845
Phone (978) 475-4522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11016731A | Medicaid | MA |
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 |
|---|---|---|---|
| RN217868 | MA | MD | Pediatric Nurse Practitioner |
| 217868 | MA | MD | Pediatric Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andover Pediatrics | Current | Accepting new patients |
Locations
140 Haverhill St
Andover, MA 01810
Phone (978) 470-1616
203 Turnpike St
Ste 200
North Andover, MA 01845
Phone (978) 475-4522
Organizations & group practices 1
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.
-
- Pediatrics Physician
- North Andover, MA
- NPI 1548393176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1184789422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ANDOVER PEDIATRICS NPI 1548393176",
"address_2": "203 TURNPIKE ST, SUITE 200",
"city": "ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-475-4522",
"fax_number": "978-688-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ANDOVER PEDIATRICS NPI 1548393176",
"address_2": "203 TURNPIKE ST, SUITE 200",
"city": "ANDOVER",
"state": "MA",
"postal_code": "01845",
"telephone_number": "978-475-4522",
"fax_number": "978-688-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "AMY",
"middle_name": "E",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "MA",
"license": "RN217868",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN217868",
"primary": true
},
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "MA",
"license": "217868",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "11016731A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.