Individual provider Active NPI

Lynn Ruggieri

  • Developmental Therapist
  • Punta Gorda, FL
National Provider Identifier
1689806614
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
412442 Issued in ME
Practice address
26529 Barranquilla Ave
Punta Gorda, FL 33983-5728
Phone
(207) 409-3461
NPI assigned
Aug 9, 2009
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 412442 ME Primary

Addresses

Primary practice location

26529 Barranquilla Ave
Punta Gorda, FL 33983-5728

Mailing address

26529 Barranquilla Ave
Punta Gorda, FL 33983-5728
Phone (207) 409-3461

Other identifiers 2

IdentifierTypeStateIssuer
2074093461MedicaidME
215840000OtherMEMAINE CARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL moveit

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

State licenses

LicenseStateTypeSpecialty
412442MEMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Spinn LLC Developmental Therapist CurrentSince Jan 8, 2023 Accepting new patients

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": "1249776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1689806614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26529 BARRANQUILLA AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835728",
            "telephone_number": "207-409-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26529 BARRANQUILLA AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339835728",
            "telephone_number": "207-409-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERI",
        "first_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-09",
        "last_updated": "2023-01-05",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "ME",
            "license": "412442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074093461",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE CARE",
            "identifier": "215840000",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "moveit",
            "affiliation": "N",
            "address_1": "26529 Barranquilla Ave",
            "city": "Punta Gorda",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339835728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.