Individual provider Active NPI

Teresa J Lynn, DO

  • Family Medicine Physician
  • Sulphur, OK
National Provider Identifier
1265475735
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2278 Issued in OK
Practice address
2011 W Broadway Ave
Sulphur, OK 73086-4221
Phone
(580) 622-4482
Fax
(580) 622-5509
NPI assigned
Jun 13, 2006
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2278 OK Primary

Addresses

Primary practice location

2011 W Broadway Ave
Sulphur, OK 73086-4221

Mailing address

PO Box 1109
Sulphur, OK 73086-8109
Phone (580) 622-4482

Other identifiers 1

IdentifierTypeStateIssuer
100700790EMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040821000153 OK Practitioner - Family Practice 0446224984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arbuckle Memorial HospitalGroup PAC ID 0840104956, shared by 3 NPIs, 9 clinicians

Practice addresses (Care Compare)

2011 W Broadway Ave
Sulphur, OK 73086-4221
Phone (580) 622-2161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2278OKMDProfessional Counselor
3970OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arbuckle Memorial Hospital CurrentSince Jul 1, 2004 Accepting new patients
Arbuckle Memorial Hospital CurrentSince Jul 1, 2004 Accepting new patients
Arbuckle Memorial Hospital CurrentSince Jul 1, 2004 Accepting new patients
Lightstar Emergency Physicians, PLLC Past Accepting new patients

Locations

2011 W Broadway Ave
Sulphur, OK 73086
Phone (580) 622-2161

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1265475735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1109",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730868109",
            "telephone_number": "580-622-4482",
            "fax_number": "580-297-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 W BROADWAY AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864221",
            "telephone_number": "580-622-4482",
            "fax_number": "580-622-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "TERESA",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700790E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, OK

Sources for this page

Verify at the official NPI Registry.