Angela Lynch Fannon, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10287 Issued in NC

Practice address

600A Village Walk Dr
Holly Springs, NC 27540-4438

Phone

(919) 285-2157

NPI assigned

Apr 6, 2007

Last updated

Aug 19, 2024By the provider in NPPES

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1689796898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 PLACID CREEK LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275398400",
            "telephone_number": "410-800-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600A VILLAGE WALK DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275404438",
            "telephone_number": "919-285-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH FANNON",
        "first_name": "ANGELA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Laytham Lopiccolo, DC
• Bradley Lovelace, PHARMD
• Gregg Charles Lowery, DO
• Wendal Lubinsky, LCMHC
• Janice Lustig, OTR/L
• Mary Katherine Macaluso, PA-C
• Laurie Macdonald, LCSW
• Megan Macgregor, MD
• James Machado Workman
• Sowmya Reddy Madduri

• Occupational Therapist in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.