Active NPI
Sally Lynd
- College Health Registered Nurse
- Lake Mills, WI
National Provider Identifier
1235580416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- College Health Registered Nurse
- License
- 174037
- Practice address
- 304 Oakbrook Dr
Lake Mills, WI 53551-1947 - Phone
- (920) 988-9196
- NPI assigned
- Jun 28, 2016
- 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 |
|---|---|---|---|---|
| College Health Registered Nurse | 163WC1400X | 174037 | WI | Primary |
Addresses
Primary practice location
304 Oakbrook Dr
Lake Mills, WI 53551-1947
Mailing address
304 Oakbrook Dr
Lake Mills, WI 53551-1947
Phone (920) 988-9196
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 |
|---|---|---|---|
| 174037 | WI | MD | College Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1235580416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 OAKBROOK DR",
"city": "LAKE MILLS",
"state": "WI",
"postal_code": "535511947",
"telephone_number": "920-988-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 OAKBROOK DR",
"city": "LAKE MILLS",
"state": "WI",
"postal_code": "535511947",
"telephone_number": "920-988-9196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYND",
"first_name": "SALLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, College Health",
"state": "WI",
"license": "174037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Mills, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.