Individual provider Active NPI

Ann Marie Keefer-Lynch, NP

  • Family Nurse Practitioner
  • Orange, CA
National Provider Identifier
1316038656
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357126 Issued in CA
Practice address
353 S Main St
Orange, CA 92868-3833
Phone
(714) 771-8000
Fax
(714) 744-8630
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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 357126 CA Primary

Addresses

Primary practice location

353 S Main St
Orange, CA 92868-3833

Mailing address

3615 Banyon Rim Rd
Yorba Linda, CA 92886-6916
Phone (714) 693-8400

Other identifiers 1

IdentifierTypeStateIssuer
NPF 9809OtherCANP FURNISHING # -- FOR WRITING PRESCRIPTIONS

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
357126CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1316038656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 BANYON RIM RD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866916",
            "telephone_number": "714-693-8400",
            "fax_number": "714-744-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 S MAIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683833",
            "telephone_number": "714-771-8000",
            "fax_number": "714-744-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFER-LYNCH",
        "first_name": "ANN MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "357126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP FURNISHING #   --  FOR WRITING PRESCRIPTIONS",
            "identifier": "NPF 9809",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.