Active NPI
Lynn Lashay Beach, CAPT / MC / USN
- Anatomic Pathology & Clinical Pathology Physician
- Jacksonville, FL
National Provider Identifier
1194704593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0101049638
- Practice address
- 2080 Child St
Naval Hospital Jacksonville, Attn: Laboratory
Jacksonville, FL 32214-5005 - Phone
- (904) 542-7388
- Fax
- (904) 542-7399
- NPI assigned
- Jan 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | ME142455 | FL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101049638 | VA | Primary |
Addresses
Primary practice location
2080 Child St
Naval Hospital Jacksonville, Attn: Laboratory
Jacksonville, FL 32214-5005
Mailing address
6000 W Highway 98
Pensacola, FL 32512-0001
Phone (850) 505-6253
Other names 1
- Dr. Lynn L Beach
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 |
|---|---|---|---|
| ME142455 | FL | MD | Military Health Care Provider |
| 0101049638 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1194704593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 W HIGHWAY 98",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325120001",
"telephone_number": "850-505-6253",
"fax_number": "850-505-6259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD ST",
"address_2": "NAVAL HOSPITAL JACKSONVILLE, ATTN: LABORATORY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145005",
"telephone_number": "904-542-7388",
"fax_number": "904-542-7399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACH",
"first_name": "LYNN",
"middle_name": "LASHAY",
"name_prefix": "Dr.",
"credential": "CAPT / MC / USN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "FL",
"license": "ME142455",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101049638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "BEACH",
"middle_name": "L",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.