Active NPI
Lynette S Ensminger, NP
- Obstetrics & Gynecology Nurse Practitioner
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- NP1997
- Practice address
- 1409 E Briggsmore Ave
Modesto, CA 95355-2707 - Phone
- (209) 550-4720
- NPI assigned
- Jan 24, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN314733 | CA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | NP1997 | CA | Primary |
Addresses
Primary practice location
1409 E Briggsmore Ave
Modesto, CA 95355-2707
Mailing address
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 521-6097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN314733 | Medicaid | CA |
Other names 1
- Lynette Tobler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN314733 | CA | MD | Registered Nurse |
| 1997 | CA | MD | Psychiatric/Mental Health Registered Nurse |
| NP1997 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
2516 E Whitmore Ave
Ceres, CA 95307
Phone (209) 538-1733
1011 Sylvan Ave
Ste C
Modesto, CA 95350
Phone (209) 550-4740
1409 E Briggsmore Ave
Spc Ctr
Modesto, CA 95355
1144 Coffee Rd
Modesto, CA 95355
Phone (209) 524-0370
1409 E Briggsmore Ave
Modesto, CA 95355
Phone (209) 550-4725
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
3612 Dale Rd
Modesto, CA 95356
Phone (209) 522-0146
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- lensminger26949@hisp.ehr.sutterhealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Multi-Specialty Clinic/Center
- Fairfield, CA
- NPI 1184859894
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1548447345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554201",
"telephone_number": "209-521-6097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 E BRIGGSMORE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552707",
"telephone_number": "209-550-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENSMINGER",
"first_name": "LYNETTE",
"middle_name": "S",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-24",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN314733",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "NP1997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN314733",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNETTE",
"last_name": "TOBLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.