Active NPI
Tammy Carol Lynch, NP
- Nurse Practitioner
- Gallipolis, OH
National Provider Identifier
1457529091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 42161
- Practice address
- 256 Pinecrest Dr
Gallipolis, OH 45631-1347 - Phone
- (740) 446-0021
- Fax
- (740) 446-4978
- NPI assigned
- Feb 18, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 42161 | WV | Primary |
Addresses
Primary practice location
256 Pinecrest Dr
Gallipolis, OH 45631-1347
Mailing address
2520 Valley Dr
PT Pleasant, WV 25550-2031
Phone (304) 675-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 550737600 | Other | OH | COMMERCIAL INSURANCE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42161 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H J Eyecare Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Huber Heights, OH
- NPI 1821101700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1457529091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 VALLEY DR",
"city": "PT PLEASANT",
"state": "WV",
"postal_code": "255502031",
"telephone_number": "304-675-1020",
"fax_number": "304-675-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 PINECREST DR",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311347",
"telephone_number": "740-446-0021",
"fax_number": "740-446-4978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "TAMMY",
"middle_name": "CAROL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-18",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "42161",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL INSURANCE",
"identifier": "550737600",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.