Shondu Lynch

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

12354 Issued in NC

Practice address

719 East Blvd
Charlotte, NC 28203-5113

Phone

(704) 363-8589

NPI assigned

May 13, 2025

Last updated

May 13, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Locations

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.

• Generational Health

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1053298885
  NPD
• Generational Health

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1508657099
  NPD

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1598556342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W 24TH ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062516",
            "telephone_number": "704-363-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035113",
            "telephone_number": "704-363-8589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W 24th St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282062516",
            "country_code": "US",
            "telephone_number": "704-363-8589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "SHONDU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NC",
            "license": "12354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lynch
• Leila Lynch
• Leslie Lynch, PT DPT
• Margaret Leigh Lynch, ATC, PA
• Melissa Lynn Lynch, COTA/L
• Worley Shaun Lynch, PA
• Lynda Woodburn, MSW, LCSW
• Michael Lynn, DMD, MSD
• Sydney Lynn
• Tracy Lynn

• Prevention Professional in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Prevention Professional in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.