Individual provider Active NPI

Brannon Lynn, FNP

  • Family Nurse Practitioner
  • Coral Gables, FL
National Provider Identifier
1275313173
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027297 Issued in FL
Practice address
122 Sevilla Ave Apt 1720
Coral Gables, FL 33134-6068
Phone
(931) 218-9290
NPI assigned
Sep 29, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11027297 FL Primary

Addresses

Primary practice location

122 Sevilla Ave Apt 1720
Coral Gables, FL 33134-6068

Mailing address

122 Sevilla Ave Apt 1720
Coral Gables, FL 33134-6068
Phone (931) 218-9290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240328002919 FL Practitioner - Nurse Practitioner 8022455815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1701 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11027297FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nxpath Psychiatry LLC CurrentSince Aug 22, 2024 Accepting new patients
Primary Care Solutions & More LLC CurrentSince Feb 27, 2024 Accepting new patients

Locations

11355 131st St
Largo, FL 33774
Phone (813) 325-7479

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

Organizations & group practices 2

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": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1275313173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 SEVILLA AVE APT 1720",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346068",
            "telephone_number": "931-218-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SEVILLA AVE APT 1720",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346068",
            "telephone_number": "931-218-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "BRANNON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.