Organization Active NPI

Lynuna Medical Clinic LLC

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1588310981
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LYNUNA MEDICAL CLINIC LLC
Practice address
6289 Jordans Pass Dr
Tallahassee, FL 32304-8367
Phone
(850) 688-8850
Fax
(850) 765-3032
NPI assigned
Feb 23, 2022
Last updated
Feb 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Lynette Battles, FNPNPI 1427534650
Title
Advanced Practice Registered Nurse
Phone
(850) 688-8850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6289 Jordans Pass Dr
Tallahassee, FL 32304-8367

Mailing address

6289 Jordans Pass Dr
Tallahassee, FL 32304-8367
Phone (850) 688-8850

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Computer Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1588310981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6289 JORDANS PASS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323048367",
            "telephone_number": "850-688-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6289 JORDANS PASS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323048367",
            "telephone_number": "850-688-8850",
            "fax_number": "850-765-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNUNA MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "BATTLES",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "ADVANCED PRACTICE REGISTERED NURSE",
        "authorized_official_telephone_number": "850-688-8850",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6289 Jordans Pass Dr",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323048367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.