Active NPI
Cassandra Lynch
- Athletic Trainer
- Stacy, MN
National Provider Identifier
1689268633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 24541 Baylor St NE
Stacy, MN 55079-4601 - Phone
- (651) 786-9685
- NPI assigned
- Feb 21, 2021
- Last updated
- Feb 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | NU | Primary |
Addresses
Primary practice location
24541 Baylor St NE
Stacy, MN 55079-4601
Mailing address
24541 Baylor St NE
Stacy, MN 55079-4601
Phone (651) 786-9685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613865600000",
"number": "1689268633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24541 BAYLOR ST NE",
"city": "STACY",
"state": "MN",
"postal_code": "550794601",
"telephone_number": "651-786-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24541 BAYLOR ST NE",
"city": "STACY",
"state": "MN",
"postal_code": "550794601",
"telephone_number": "651-786-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-21",
"last_updated": "2021-02-21",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stacy, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.