Active NPI
Peggy Lynn Flynn, MSED
- Case Manager/Care Coordinator
- Highland Falls, NY
National Provider Identifier
1497095384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 56 Villa Pkwy
Highland Falls, NY 10928-1615 - Phone
- (845) 325-2019
- Fax
- (845) 446-2144
- NPI assigned
- Feb 28, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 857947 | NY | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
56 Villa Pkwy
Highland Falls, NY 10928-1615
Mailing address
56 Villa Pkwy
Highland Falls, NY 10928-1615
Phone (845) 325-2019
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 |
|---|---|---|---|
| 857947 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1497095384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 VILLA PKWY",
"city": "HIGHLAND FALLS",
"state": "NY",
"postal_code": "109281615",
"telephone_number": "845-325-2019",
"fax_number": "845-446-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 VILLA PKWY",
"city": "HIGHLAND FALLS",
"state": "NY",
"postal_code": "109281615",
"telephone_number": "845-325-2019",
"fax_number": "845-446-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "PEGGY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-28",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "857947",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.