Lynn Marie Moore, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2114 Issued in NM

Practice address

3101 N Florida Ave
Alamogordo, NM 88310-9713

Phone

(505) 434-0033

NPI assigned

Jul 6, 2007

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 names 1

• Ms. Lynn Marie Callahan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275731630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 DERBYSHIRE RD",
            "city": "TULAROSA",
            "state": "NM",
            "postal_code": "883529501",
            "telephone_number": "505-585-4998",
            "fax_number": "505-585-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N FLORIDA AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883109713",
            "telephone_number": "505-434-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "2114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "CALLAHAN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "O.T.R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald Henry Montoya, M.D.
• Kaylee Montoya
• Rain Lee Montoya
• Sebrina Montoya
• Brianna Moon
• Rowan Moore
• Sage Moore
• Jennifer Mora
• Dionna Morales
• Sarah Moralez, MS, SLP-CCC

• Occupational Therapist in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.