Mary Ellen Lynch, MS,NP-C, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Practice address

American Addiction Treatment Center
12695 McManus Blvd, BDG 2
Newport News, VA 23602

Phone

(757) 234-4139

NPI assigned

Mar 16, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Master of Science

State licenses

Practice roles

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.

• American Addiction Treatment Center, Inc

  dba American Addiction Treatment Center-Gloucester

  • Methadone Clinic
  • Hayes, VA
  • NPI 1710540919
  NPD (past)
• American Addiction Treatment Center, Inc.

  dba Pinnacle Treatment Services of Newport News

  • Substance Abuse Rehabilitation Facility
  • Poquoson, VA
  • NPI 1275230112
  NPD (past)

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1457712556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 GABRIEL ARCHER LN",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236652428",
            "telephone_number": "570-807-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AMERICAN ADDICTION TREATMENT CENTER",
            "address_2": "12695 MCMANUS BLVD, BDG 2",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23602",
            "telephone_number": "757-234-4139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 Yorktown Rd",
            "address_purpose": "LOCATION",
            "city": "Poquoson",
            "state": "VA",
            "postal_code": "236621427",
            "country_code": "US",
            "telephone_number": "570-807-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "MS,NP-C, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001261360",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024-173374",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc. (Target Optical #6738)
• Emily Rose Lydon, M. ED; CF-SLP
• Ashane Danielle Lynch, MD
• Jenay Lynch
• Judy R Lynch, D.D.S.
• Paula Jenay Lynch
• Petra S. Lynch, M.D.
• Anne Catherine Lynn, DDS
• Jason Eli Maas, MD, PHD
• Joel Verano Mabalot, MD

• Advanced Practice Midwife in Newport News, VA
• Providers in Newport News, VA by specialty
• Advanced Practice Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.