Breasia Z Lynn

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3190 Tyrone Blvd N
St Petersburg, FL 33710-2919

Phone

(727) 345-9111

Fax

(727) 345-7130

NPI assigned

Sep 5, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cerebrum Healthcare LLC

  • Neurology Physician
  • Tampa, FL
  • NPI 1255849055
  NPD (past)
• Parc Inc

  • Intellectual Disabilities Intermediate Care Facility
  • St Petersburg, FL
  • NPI 1477680916
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504569600000",
    "number": "1578081006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 27TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337053116",
            "telephone_number": "727-244-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 TYRONE BLVD N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102919",
            "telephone_number": "727-345-9111",
            "fax_number": "727-345-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "BREASIA",
        "middle_name": "Z",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Lynch
• Sean Lynch, DO
• William T Lyne, LICSW
• Chiquita Kawanda Lynn-Walker, ARNP
• Brandon Keith Lynn, APRN, CPNP-AC
• Kaitlyn Asa Lynn, APRN
• Lynne M. Ellis, MD,PA
• Elisa Margo Lynskey, M.D.
• Lyons Anesthesia Servies
• Joseph Lyons

• Behavior Technician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.