Monica L Lynch, APN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209005770 Issued in IL

Practice address

2801 S Springfield Ave
Rockford, IL 61102-4205

Phone

(815) 721-8288

Fax

(815) 721-8270

NPI assigned

Jun 15, 2006

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

• Miss Monica L Kruchten Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• K C a S ENT Inc.

  • Pediatric Nurse Practitioner
  • Marengo, IL
  • NPI 1659373132
  NPD (past)
• Premise Health of Illinois Medical PC

  • Clinic/Center
  • Rockford, IL
  • NPI 1770999872
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1295779171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5015 WIL ACRE DR",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611113623",
            "telephone_number": "815-708-0515",
            "fax_number": "815-708-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S SPRINGFIELD AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611024205",
            "telephone_number": "815-721-8288",
            "fax_number": "815-721-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "MONICA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209005770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "KRUCHTEN",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Paige A Lyford, DPT
• Lynch Chiropractic
• Lynch Chiropractic
• Richard Lynch, DC
• Yolanda Lynch
• Melissa Lynn, LSW
• Stephen Lyons, L.C.S.W.
• M.H.R.C. Inc.

• Nurse Practitioner in Rockford, IL
• Providers in Rockford, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.