Individual provider Active NPI

Lynn A Shinn, CNM

  • Advanced Practice Midwife
  • Mount Holly, NJ
National Provider Identifier
1568834315
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00058200 Issued in NJ
Practice address
175 Madison Ave FL 3
Mount Holly, NJ 08060-2099
Phone
(609) 914-6782
Fax
(856) 246-9565
NPI assigned
Oct 20, 2015
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00058200 NJ Primary

Addresses

Primary practice location

175 Madison Ave FL 3
Mount Holly, NJ 08060-2099

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

100 Bowman Dr Fl 3
Voorhees, NJ 08043-9612
Phone (856) 247-3821

Other practice location 2

175 Madison Ave Fl 2
Mount Holly, NJ 08060-2099
Phone (609) 914-6782

Other practice location 3

1600 Haddon Ave Fl 3
Camden, NJ 08103-3101
Phone (856) 757-3500

Other practice location 4

100 Bowman Dr Fl 1
Voorhees, NJ 08043-9612
Phone (856) 247-2645

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address lshinn212208@directvirtua.org
Direct Messaging Address lshinn212208@directvirtua.org
Direct Messaging Address lshinn212208@directvirtua.org
Direct Messaging Address lshinn212208@directvirtua.org
Direct Messaging Address lshinn212208@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160720001499 NJ Practitioner - Certified Nurse Midwife (CNM) 9234422890 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME00058200NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Feb 1, 2022 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince May 30, 2016 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince May 30, 2016 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2022 Accepting new patients
Alliance OB GYN Consultants LLC PastSince May 23, 2018 Accepting new patients
Integrity Anesthesia Group, PC Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

651 High St
Burlington City, NJ 08016
Phone (609) 386-0775

1600 Haddon Ave
Fl 3
Camden, NJ 08103
Phone (609) 988-6260

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

175 Madison Ave
Fl 2
Mount Holly, NJ 08060
Phone (609) 914-6198

175 Madison Ave
Fl 3
Mount Holly, NJ 08060
Phone (609) 914-6198

600 Pemberton Browns Mills Rd
Pemberton, NJ 08068
Phone (609) 726-7000

100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645

100 Bowman Dr
Fl 3
Voorhees, NJ 08043
Phone (856) 247-3000

Interoperability endpoints

  • Direct secure messaging: lshinn212208@directvirtua.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1568834315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE FL 3",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602099",
            "telephone_number": "609-914-6782",
            "fax_number": "856-246-9565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Bowman Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-247-3821",
            "fax_number": "856-247-4452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602099",
            "country_code": "US",
            "telephone_number": "609-914-6782",
            "fax_number": "856-246-9565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Haddon Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081033101",
            "country_code": "US",
            "telephone_number": "856-757-3500",
            "fax_number": "856-365-4088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Dr Fl 1",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-247-2645",
            "fax_number": "856-247-2905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHINN",
        "first_name": "LYNN",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00058200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lshinn212208@directvirtua.org",
            "affiliation": "N",
            "address_1": "1600 Haddon Ave Fl 3",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081033101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lshinn212208@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave Fl 3",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080602099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lshinn212208@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Dr Fl 1",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lshinn212208@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Dr Fl 3",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lshinn212208@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave Fl 2",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080602099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.