Active NPI
Nicholas Andrew Lynch, MA
- Speech-Language Pathologist
- Minnetonka, MN
National Provider Identifier
1407134901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8810
- Practice address
- 3395 Plymouth Rd
Minnetonka, MN 55305-3765 - Phone
- (952) 562-5789
- NPI assigned
- Aug 1, 2011
- Last updated
- Jun 16, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8810 | MN | Primary |
Addresses
Primary practice location
3395 Plymouth Rd
Minnetonka, MN 55305-3765
Mailing address
3395 Plymouth Rd
Minnetonka, MN 55305-3765
Phone (952) 562-5789
Other practice location 1
950 Jefferson Commons Cir
Apt. 1310
Saint Paul, MN 55114-8634
Phone (218) 213-5438
Other practice location 2
1200 Marquette Ave
Minneapolis, MN 55403-2419
Phone (952) 548-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8810 | Other | MN | MINNESOTA LINCENSE |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8810 | MN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560643200000",
"number": "1407134901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3395 PLYMOUTH RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053765",
"telephone_number": "952-562-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3395 PLYMOUTH RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053765",
"telephone_number": "952-562-5789"
}
],
"practiceLocations": [
{
"address_1": "950 Jefferson Commons Cir",
"address_2": "Apt. 1310",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551148634",
"country_code": "US",
"telephone_number": "218-213-5438",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Marquette Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554032419",
"country_code": "US",
"telephone_number": "952-548-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYNCH",
"first_name": "NICHOLAS",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2019-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "8810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA LINCENSE",
"identifier": "8810",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.