Individual provider Active NPI

Lynne A Garvey, CRNP

  • Psychiatric/Mental Health Registered Nurse
  • Johnstown, PA
National Provider Identifier
1437580222
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
SP032046 Issued in PA
Practice address
1105 Scalp Ave
Johnstown, PA 15904-3036
Phone
(833) 668-6861
NPI assigned
Dec 5, 2013
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP012227 PA
Psychiatric/Mental Health Registered Nurse 163WP0808X SP032046 PA Primary

Addresses

Primary practice location

1105 Scalp Ave
Johnstown, PA 15904-3036

Mailing address

PO Box 106
Grampian, PA 16838-0106
Phone (814) 272-5805

Other practice location 1

301 Science Park Rd
Suite 207
State College, PA 16803
Phone (814) 272-5805

Other identifiers 3

IdentifierTypeStateIssuer
50128372OtherCAPITAL BC
103067060MedicaidPA
P01412484OtherRAILROAD MEDICARE

Other names 1

  • Lynne A Gonzalez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140131000391 PA Practitioner - Nurse Practitioner 1951530583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP032046PAMDPsychiatric/Mental Health Registered Nurse
SP012227PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychogeriatric Services LLC CurrentSince May 11, 2023 Accepting new patients
Mount North, LLC CurrentSince Feb 23, 2025 Accepting new patients
Centre Geriatric Care, LLC PastSince Oct 31, 2021 Accepting new patients

Locations

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249

1105 Scalp Ave
Johnstown, PA 15904
Phone (814) 266-6121

146 E King St
Lancaster, PA 17602
Phone (302) 990-2323

Interoperability endpoints

  • Direct secure messaging: lag108pcs@m1526.primeclinicalsystems.direct-ci.com

Organizations & group practices 3

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": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1437580222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "GRAMPIAN",
            "state": "PA",
            "postal_code": "168380106",
            "telephone_number": "814-272-5805",
            "fax_number": "805-232-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043036",
            "telephone_number": "833-668-6861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Science Park Rd",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "16803",
            "country_code": "US",
            "telephone_number": "814-272-5805",
            "fax_number": "814-272-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARVEY",
        "first_name": "LYNNE",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP012227",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP032046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "50128372",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103067060",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01412484",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNE",
            "last_name": "GONZALEZ",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.