Lynn Tatyana Joseph, RN

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

921 E Parker St Ste 4
Lakeland, FL 33801-1901

Phone

(941) 448-8105

NPI assigned

Jun 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

Practice roles

Locations

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.

• Nurstar Home Health Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lakeland, FL
  • NPI 1306464417
  NPD Authorized official
• Occumedly LLC

  • Primary Care Nurse Practitioner
  • Clifton, NJ
  • NPI 1750985719
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1235650029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 MAGDALENE CT W",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338012982",
            "telephone_number": "941-448-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E PARKER ST STE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338011901",
            "telephone_number": "941-448-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "LYNN",
        "middle_name": "TATYANA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019875400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Jessica Joseph
• Ashley Siby Joseph, NP
• Ayanna Amlak Joseph, MD
• Jessica Saji Joseph, MD
• Joshua Joseph
• Manolitha Joseph
• Stephanie Joseph
• Tiffany Joseph, MD
• Josephine B Lim MD PA
• Neha Joshi, O.D.

• Developmental Disabilities Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.