Lynette Berven, D.C., P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7531 Issued in FL

Legal business name

LYNETTE BERVEN, D.C., P.A.

Practice address

6534 Gunn Hwy
Tampa, FL 33625-4022

Phone

(813) 968-3500

Fax

(813) 968-3555

NPI assigned

Jan 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lynette Berven, D.C.NPI 1295737757

Title

President

Phone

(813) 968-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Berven Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynette Berven, DC

  • Chiropractor
  • Tampa, FL
  • NPI 1295737757
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1396041182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6534 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254022",
            "telephone_number": "813-968-3500",
            "fax_number": "813-968-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6534 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254022",
            "telephone_number": "813-968-3500",
            "fax_number": "813-968-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNETTE BERVEN, D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "BERVEN",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-968-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003466000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berven Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latisa Tiana Lynch, ARNP
• Pamela M Lynch, R.N.
• Samantha Kathleen Lynch, DO
• Sholanda Shafe Lynch, SOCIAL WORKER
• Sullivan Lynch, PHARM.D.
• Andrea Jessica Lynn, APRN
• Casey Lynn, DMD
• Jessica R Lynn, PHARMD
• Lon David Lynn, D.O.
• Michelle Lea Lynn, PTA

• Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.