Active NPI
Sandra Elizabeth Urban-Lynch, NP
- Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1477564102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NPP36391
- Practice address
- 9900 Bren Road East
Mail Route MN 008-B-213
Minnetonka, MN 55343 - Phone
- (785) 380-9084
- NPI assigned
- Aug 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN239768 | MA | |
| Nurse Practitioner | 363L00000X | NPP36391 | RI | Primary |
Addresses
Primary practice location
9900 Bren Road East
Mail Route MN 008-B-213
Minnetonka, MN 55343
Mailing address
9900 Bren Road East
Mail Route MN 008-B213
Minnetonka, MN 55343
Phone (478) 538-0908
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 |
|---|---|---|---|
| NPP36391 | RI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Medical Foundation, 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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1912954124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1477564102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 BREN ROAD EAST",
"address_2": "MAIL ROUTE MN 008-B213",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55343",
"telephone_number": "478-538-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BREN ROAD EAST",
"address_2": "MAIL ROUTE MN 008-B-213",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "55343",
"telephone_number": "785-380-9084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAN-LYNCH",
"first_name": "SANDRA",
"middle_name": "ELIZABETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN239768",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "NPP36391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.