Individual provider Active NPI

Lynda Karen Doulin, CRNP

  • Adult Health Nurse Practitioner
  • Andalusia, AL
National Provider Identifier
1659376549
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-061198 Issued in AL
Practice address
601 W Bypass
Andalusia, AL 36420-4732
Phone
(334) 222-0184
Fax
(334) 222-0625
NPI assigned
Jun 16, 2005
Last updated
Nov 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-061198 AL Primary
Pediatric Nurse Practitioner 363LP0200X 1-061198 AL

Addresses

Primary practice location

601 W Bypass
Andalusia, AL 36420-4732

Mailing address

PO Box 609
Andalusia, AL 36420-1211
Phone (334) 222-0184

Other identifiers 1

IdentifierTypeStateIssuer
000020702MedicaidAL

Other names 1

  • Lynda Karen Seymour Doulin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120202000045 AL Practitioner - Nurse Practitioner 3577720531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Family Health Care, IncGroup PAC ID 5698794378, 2 clinicians

Practice addresses (Care Compare)

601 W Bypass
Andalusia, AL 36420-4732
Phone (334) 222-0184

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Family Health Care, Inc CurrentSince Jun 1, 1999 Accepting new patients

Locations

601 W Bypass
Andalusia, AL 36420
Phone (334) 222-0184

Interoperability endpoints

  • Direct secure messaging: karen_doulin_-_np@yourcarecommunity.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1659376549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201211",
            "telephone_number": "334-222-0184",
            "fax_number": "334-222-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W BYPASS",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364204732",
            "telephone_number": "334-222-0184",
            "fax_number": "334-222-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOULIN",
        "first_name": "LYNDA",
        "middle_name": "KAREN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-061198",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-061198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020702",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNDA KAREN",
            "last_name": "DOULIN",
            "middle_name": "SEYMOUR",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.