Active NPI
Lynn Milgrom Wainess, OTR
- Occupational Therapist
- Auburn, CA
National Provider Identifier
1336458850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1724
- Practice address
- 105 Marvin Way
Auburn, CA 95603-4932 - Phone
- (510) 418-1921
- NPI assigned
- Sep 30, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1724 | CA | Primary |
Addresses
Primary practice location
105 Marvin Way
Auburn, CA 95603-4932
Mailing address
105 Marvin Way
Auburn, CA 95603-4932
Phone (510) 418-1921
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1336458850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MARVIN WAY",
"city": "AUBURN",
"state": "CA",
"postal_code": "956034932",
"telephone_number": "510-418-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MARVIN WAY",
"city": "AUBURN",
"state": "CA",
"postal_code": "956034932",
"telephone_number": "510-418-1921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAINESS",
"first_name": "LYNN",
"middle_name": "MILGROM",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "1724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.