Active NPI
Beverly Lynch, LAC.
- Acupuncturist
- Titusville, FL
National Provider Identifier
1558742403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3845
- Practice address
- 1007 S Washington Ave
Titusville, FL 32780-8404 - Phone
- (321) 474-4573
- Fax
- (321) 269-7838
- NPI assigned
- Jun 16, 2015
- Last updated
- Oct 4, 2017
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | MED-ACU-LIC-27134 | MT | |
| Acupuncturist | 171100000X | AP3845 | FL | Primary |
Addresses
Primary practice location
1007 S Washington Ave
Titusville, FL 32780-8404
Mailing address
1007 S Washington Ave
Titusville, FL 32780-8404
Phone (321) 474-4573
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 |
|---|---|---|---|
| AP3845 | FL | MD | Acupuncturist |
| MED-ACU-LIC-27134 | MT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bykota Acupuncture | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Acupuncturist
- Titusville, FL
- NPI 1609267939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507075200000",
"number": "1558742403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 S WASHINGTON AVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327808404",
"telephone_number": "321-474-4573",
"fax_number": "321-474-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 S WASHINGTON AVE",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327808404",
"telephone_number": "321-474-4573",
"fax_number": "321-269-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "BEVERLY",
"credential": "LAC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2017-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MT",
"license": "MED-ACU-LIC-27134",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.