Andrea K Lynch, ATC/L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL1646 Issued in FL

Practice address

928 Mar Walt Dr
Suite 104
Ft Walton Beach, FL 32547-6706

Phone

(850) 218-0210

NPI assigned

Oct 24, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467442277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CROWDER CT",
            "city": "FT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473624",
            "telephone_number": "850-863-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 MAR WALT DR",
            "address_2": "SUITE 104",
            "city": "FT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476706",
            "telephone_number": "850-218-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "ANDREA",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "ATC/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL1646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER LICENSE",
            "identifier": "AL1646",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.