Active NPI
Lynette Kay Munce, PAC
- Physician Assistant
- Redfield, SD
National Provider Identifier
1366414369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0077
- Practice address
- 1010 West 1St St
Redfield, SD 57469-1506 - Phone
- (605) 472-0510
- Fax
- (605) 472-0331
- NPI assigned
- Feb 3, 2006
- Last updated
- Jun 8, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0077 | SD | Primary |
Addresses
Primary practice location
1010 West 1St St
Redfield, SD 57469-1506
Mailing address
PO Box 590
Redfield, SD 57469-0590
Phone (605) 472-0510
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0077 | SD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Redfield | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1366414369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 590",
"city": "REDFIELD",
"state": "SD",
"postal_code": "574690590",
"telephone_number": "605-472-0510",
"fax_number": "605-472-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 WEST 1ST ST",
"city": "REDFIELD",
"state": "SD",
"postal_code": "574691506",
"telephone_number": "605-472-0510",
"fax_number": "605-472-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNCE",
"first_name": "LYNETTE",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "0077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redfield, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.