Individual provider Active NPI

Amy E Lynch, PNP

  • Pediatric Nurse Practitioner
  • Andover, MA
National Provider Identifier
1184789422
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN217868 Issued in MA
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

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11016731AMedicaidMA

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

LicenseStateTypeSpecialty
RN217868MAMDPediatric Nurse Practitioner
217868MAMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Andover Pediatrics CurrentSince Nov 17, 2024 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.

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.

Verify at the official NPI Registry.