Active NPI
Lynda Orsburn
- Driver
- Kenosha, WI
National Provider Identifier
1477957017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 6946 46TH St
Kenosha, WI 53144-1749 - Phone
- (262) 764-0377
- Fax
- (262) 654-5661
- NPI assigned
- Oct 10, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | WI | Primary |
Addresses
Primary practice location
6946 46TH St
Kenosha, WI 53144-1749
Mailing address
6946 46TH St
Kenosha, WI 53144-1749
Phone (262) 764-0377
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1477957017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6946 46TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441749",
"telephone_number": "262-764-0377",
"fax_number": "262-654-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6946 46TH ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531441749",
"telephone_number": "262-764-0377",
"fax_number": "262-654-5661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORSBURN",
"first_name": "LYNDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.