Active NPI
Holly Lynn, LMT
- Specialist
- Orlando, FL
National Provider Identifier
1316074628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA14311
- Practice address
- 623 Virginia Dr
Orlando, FL 32803-1857 - Phone
- (407) 893-3933
- NPI assigned
- Feb 27, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA14311 | FL | Primary |
Addresses
Primary practice location
623 Virginia Dr
Orlando, FL 32803-1857
Mailing address
PO Box 547385
Orlando, FL 32854-7385
Phone (407) 893-3933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1539 | Other | FL | BCBS OF FLORIDA |
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 |
|---|---|---|---|
| MA14311 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316074628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547385",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328547385",
"telephone_number": "407-893-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 VIRGINIA DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328031857",
"telephone_number": "407-893-3933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "HOLLY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA14311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "C1539",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- 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.