Serena Lynn Lytle, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

620 S Richmond St
Wichita, KS 67213-2644

Phone

(316) 650-4034

NPI assigned

Jul 26, 2018

Last updated

Jul 26, 2018By 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

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1689151227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S RICHMOND ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672132644",
            "telephone_number": "316-650-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S RICHMOND ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672132644",
            "telephone_number": "316-650-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "SERENA",
        "middle_name": "LYNN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Lynn, LPC
• Mary Ellen Lyon, CCC-SLP, AUD
• Grace Lyons, M.A.
• Holly Lyons, MA
• Devan Jenae Lysen- May, DC
• Virginia Neuwirth Lytle, RPH, MBA
• M and P Health, LLC
• Elissa Marie M Hovey, ED.S., NCSP
• M-Care Healthcare LLC
• M.D. Gordon O.D., LLC

• Athletic Trainer in Wichita, KS
• Providers in Wichita, KS by specialty
• Athletic Trainer in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.