Individual provider Active NPI

Stephanie Lynch

  • Physician Assistant
  • Salem, NH
National Provider Identifier
1225494198
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1147 Issued in NH
Practice address
52 Stiles Rd
Suite 110
Salem, NH 03079-4879
Phone
(603) 898-5082
NPI assigned
Jan 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 1147 NH Primary

Addresses

Primary practice location

52 Stiles Rd
Suite 110
Salem, NH 03079-4879

Mailing address

52 Stiles Rd
Suite 110
Salem, NH 03079-4879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406000847 NH Practitioner - Physician Assistant 0244538387 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1147NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Androscoggin Valley Hospital, Inc. CurrentSince Jan 17, 2022 Accepting new patients
Androscoggin Valley Hospital Inc CurrentSince Jan 17, 2022 Accepting new patients
Pinnacle Personalized Healthcare, PLLC PastSince Jan 20, 2017 Accepting new patients

Locations

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

Interoperability endpoints

  • Direct secure messaging: stephanie.lynch.1@25664.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16479/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1225494198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 STILES RD",
            "address_2": "SUITE 110",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 STILES RD",
            "address_2": "SUITE 110",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794879",
            "telephone_number": "603-898-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, NH

Sources for this page

Verify at the official NPI Registry.