Individual provider Active NPI

Lynette Vannostrand, BA, AS, RDH, PHDHP

  • Dental Hygienist
  • Mechanicsburg, PA
National Provider Identifier
1376952416
Registry record updated Aug 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
PHDH000037 Issued in PA
Practice address
5615 Pinehurst Way
Mechanicsburg, PA 17050-8524
Phone
(717) 512-3441
NPI assigned
Aug 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X PHDH000037 PA Primary

Addresses

Primary practice location

5615 Pinehurst Way
Mechanicsburg, PA 17050-8524

Mailing address

5615 Pinehurst Way
Mechanicsburg, PA 17050-8524
Phone (717) 512-3441

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
Associate of Science, Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
PHDH000037PAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406937600000",
    "number": "1376952416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 PINEHURST WAY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170508524",
            "telephone_number": "717-512-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 PINEHURST WAY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170508524",
            "telephone_number": "717-512-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANNOSTRAND",
        "first_name": "LYNETTE",
        "credential": "BA, AS, RDH, PHDHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-02",
        "last_updated": "2014-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "PHDH000037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.