Active NPI
Lynne Dahlstrom, PTA
- Community Health Worker
- Jupiter, FL
National Provider Identifier
1487811758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- PTA16736
- Practice address
- 717 S US Highway 1
Apt. 706
Jupiter, FL 33477-5975 - Phone
- (561) 301-2121
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | PTA16736 | FL | Primary |
Addresses
Primary practice location
717 S US Highway 1
Apt. 706
Jupiter, FL 33477-5975
Mailing address
717 S US Highway 1
Apt. 706
Jupiter, FL 33477-5975
Phone (561) 301-2121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA16736 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1487811758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 S US HIGHWAY 1",
"address_2": "APT. 706",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775975",
"telephone_number": "561-301-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 S US HIGHWAY 1",
"address_2": "APT. 706",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775975",
"telephone_number": "561-301-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLSTROM",
"first_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "PTA16736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.