NPIMap

Individual provider Active NPI

Lynn Phillips, FNP

  • Family Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1629074927
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP008979 Issued in PA
Practice address
190 Brodhead Rd Ste 101
Bethlehem, PA 18017
Phone
(610) 694-9090
Fax
(610) 861-8295
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000123821 TN
Family Nurse Practitioner 363LF0000X SP008979 PA Primary

Addresses

Primary practice location

190 Brodhead Rd Ste 101
Bethlehem, PA 18017

Mailing address

190 Brodhead Rd Ste 101
Bethlehem, PA 18017-8617
Phone (610) 694-9090

Other practice location 1

2830 Easton Ave
Bethlehem, PA 18017-4204
Phone (484) 526-3555

Other names 1

  • Lynn Alexander Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130906000695 PA Practitioner - Nurse Practitioner 0648373092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

190 Brodhead Rd
Suite 101
Bethlehem, PA 18017-8617
Phone (610) 694-9090

2100 Mack Blvd
FL 4
Allentown, PA 18103-5622

281 N 12TH St
LVPG Vascular Surgery
Lehighton, PA 18235-1101
Phone (610) 402-9400

281 N 12TH St B
Lehighton, PA 18235-1101
Phone (610) 377-7793

281 N 12TH St F
LVPG Obstetrics and Gynecology
Lehighton, PA 18235-1101
Phone (610) 377-5959

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0000123821TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 1, 2018 Accepting new patients
Lehigh Valley Physician Group CurrentSince Aug 1, 2018 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Oct 1, 2016 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Oct 1, 2016 Accepting new patients

Locations

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104
Phone (610) 973-1410

2100 Mack Blvd
Fl 4
Allentown, PA 18103

190 Brodhead Rd
Ste 101
Bethlehem, PA 18017
Phone (610) 694-9090

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

2830 Easton Ave
Bethlehem, PA 18017
Phone (484) 526-3555

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

281 N 12th St
Ste B
Lehighton, PA 18235
Phone (610) 377-7793

Interoperability endpoints

  • Direct secure messaging: lynn.phillipscrnp.p1@direct.secureehr.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1629074927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BRODHEAD RD STE 101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178617",
            "telephone_number": "610-694-9090",
            "fax_number": "610-861-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BRODHEAD RD STE 101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18017",
            "telephone_number": "610-694-9090",
            "fax_number": "610-861-8295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Easton Ave",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180174204",
            "country_code": "US",
            "telephone_number": "484-526-3555",
            "fax_number": "484-526-3560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000123821",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "ALEXANDER",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.