Lynette Quartlbaum, RN

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HCO-161383 Issued in VA

Practice address

5006 Jefferson Ave
Newport News, VA 23605-3204

Phone

(757) 240-4440

Fax

(757) 706-3568

NPI assigned

Jan 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Ajewell Healthcare Agency, LLC

  • Home Health Agency
  • Newport News, VA
  • NPI 1740641109
  NPD (past) Authorized official

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1457717738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 JEFFERSON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236053204",
            "telephone_number": "757-240-4440",
            "fax_number": "757-706-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 JEFFERSON AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236053204",
            "telephone_number": "757-240-4440",
            "fax_number": "757-706-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTLBAUM",
        "first_name": "LYNETTE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": "HCO-161383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Q'S and Poetic'S Special Education and Family Support Services LLC
• Guo Qian, DO
• Quality Medical Testing LLC
• Quality United Logistics Inc.
• Linh Quan, MD
• Timothy A Queen, M.D.
• Quick Sticks, LLC
• Nakita Quidera, AGNP-C
• Hollie Racz, PTA
• Radiant Flux PLLC

• Home Health Aide in Newport News, VA
• Providers in Newport News, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.