Active NPI
Blythe Lucy Ann Lehmann
- Technician/Technologist
- Roseville, CA
National Provider Identifier
1215574629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- 5401
- Practice address
- 420 Folsom Rd Ste B
Roseville, CA 95678-2767 - Phone
- (916) 798-0662
- Fax
- (916) 872-1531
- NPI assigned
- Dec 4, 2019
- 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 |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 5401 | CA | Primary |
Addresses
Primary practice location
420 Folsom Rd Ste B
Roseville, CA 95678-2767
Mailing address
420 Folsom Rd Ste B
Roseville, CA 95678-2767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81-3288524 | Other | CA | KAISER |
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 |
|---|---|---|---|
| 5401 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1215574629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 FOLSOM RD STE B",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956782767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 FOLSOM RD STE B",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956782767",
"telephone_number": "916-798-0662",
"fax_number": "916-872-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEHMANN",
"first_name": "BLYTHE",
"middle_name": "LUCY ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-04",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "CA",
"license": "5401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "81-3288524",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.