Kayla Nicole Lynum

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

521191 Issued in WI

Practice address

301 Cherry Ave W
Plum City, WI 54761-9781

Phone

(715) 647-2401

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1578382123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 250TH ST",
            "city": "WOODVILLE",
            "state": "WI",
            "postal_code": "540287218",
            "telephone_number": "715-977-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CHERRY AVE W",
            "city": "PLUM CITY",
            "state": "WI",
            "postal_code": "547619781",
            "telephone_number": "715-647-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNUM",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "521191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasi M. Gillis, MSE, CCC-SLP
• Maiden Rock, Plum City, Stockholm Area Ambulance
• Anne Monette
• Vanessa Jane Nelson, CAPSW
• Plum City Care Center, Inc.
• School District of Plum City

• Occupational Therapy Assistant in Plum City, WI
• Providers in Plum City, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.