Individual provider Active NPI

Collin Lynch, MSOM, DOM

  • Occupational Medicine Physician
  • Placitas, NM
National Provider Identifier
1457197808
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
AOM-2024-0011 Issued in NM
Practice address
22 Norte TRL
Placitas, NM 87043-9015
Phone
(305) 496-9648
NPI assigned
Jul 5, 2024
Last updated
Feb 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X AOM-2024-0011 NM Primary

Addresses

Primary practice location

22 Norte TRL
Placitas, NM 87043-9015

Mailing address

22 Norte TRL
Placitas, NM 87043-9015
Phone (305) 496-9648

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

State licenses

LicenseStateTypeSpecialty
AOM-2024-0011NMMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1457197808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NORTE TRL",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439015",
            "telephone_number": "305-496-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NORTE TRL",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439015",
            "telephone_number": "305-496-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "COLLIN",
        "name_prefix": "Dr.",
        "credential": "MSOM, DOM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NM",
            "license": "AOM-2024-0011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placitas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2025; 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.