Kimberly Lynn Lynch, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

209.007501 Issued in IL

Practice address

1850 W Winchester Rd
Suite 220
Libertyville, IL 60048-5357

Phone

(847) 362-9050

NPI assigned

Mar 2, 2009

Last updated

Mar 2, 2009By the provider in NPPES

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

Enrolled in IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235952000000",
    "number": "1477793594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 GREENBRIAR DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482429",
            "telephone_number": "847-918-9208",
            "fax_number": "847-573-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W WINCHESTER RD",
            "address_2": "SUITE 220",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485357",
            "telephone_number": "847-362-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209.007501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Lundeen, OTD
• Patricia Lutz, MA, LPC
• Crispino Luzano Jr., PT
• Daniel Joseph Lynch, M.D.
• Erika Lynch
• Lynda Roden Dosc
• Marina Lyubkin
• M.L. Savitt Inc (North Shore Glaucoma Center)
• Lauren Marie Mackinnon, DO
• Andres Felipe Mafla Grisales, MD

• Adult Health Nurse Practitioner in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Adult Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.