Active NPI
Marilyn Marie Lynch, LPN
- Registered Nurse
- Little Rock, AR
National Provider Identifier
1265954820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- L10358
- Practice address
- 7723 Colonel Glenn Road
Little Rock, AR 72204 - Phone
- (501) 280-9195
- Fax
- (501) 664-2488
- NPI assigned
- Jul 14, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L10358 | AR | Primary |
Addresses
Primary practice location
7723 Colonel Glenn Road
Little Rock, AR 72204
Mailing address
7723 Colonel Glenn Rd
Little Rock, AR 72204-7503
Phone (501) 280-9195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171460795 | Medicaid | AR |
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 |
|---|---|---|---|
| L10358 | AR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archild, Inc | Current | Accepting new patients |
Locations
7723 Colonel Glenn Rd
Little Rock, AR 72204
Phone (501) 280-9195
Organizations & group practices 1
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Little Rock, AR
- NPI 1851503460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1265954820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7723 COLONEL GLENN RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722047503",
"telephone_number": "501-280-9195",
"fax_number": "501-664-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7723 COLONEL GLENN ROAD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72204",
"telephone_number": "501-280-9195",
"fax_number": "501-664-2488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "MARILYN",
"middle_name": "MARIE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "L10358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171460795",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.