Lynette Mary Roulier, PTA

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

4852 Rainer Dr
Old Hickory, TN 37138-4129

Phone

(615) 504-7456

NPI assigned

Jun 29, 2012

Last updated

Jun 29, 2012By 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

Other names 1

• Mrs. Lynette Mary Howell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1528322930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4852 RAINER DRIVE",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371384129",
            "telephone_number": "615-504-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4852 RAINER DR",
            "city": "OLD HICKORY",
            "state": "TN",
            "postal_code": "371384129",
            "telephone_number": "615-504-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROULIER",
        "first_name": "LYNETTE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "HOWELL",
            "middle_name": "MARY",
            "prefix": "MRS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gerald W. Polk, PA-C
• Rachel Lee Pope, RN, BSN, BC-FMP
• Charles Frederick Ramsey, DC
• Harrison Riggs, D.D.S.
• Nancy Carol Robertson, LMT # 5257
• RT Medical LLC
• Richard Sanders, M.D.
• Evan Stephen Scher, PT, DPT
• Derrell Thomas Seigler Jr., LPC-MHSP, MA, NCC
• Austin Simmons

• Community Health Worker in Old Hickory, TN
• Providers in Old Hickory, TN by specialty
• Community Health Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.