Lynnette Adams

Key facts

NPI

1699367649

Entity type

Individual (NPI type 1)

Primary specialty

Contractor 171W00000X

Practice address

3536 Walstine LN
Valdosta, GA 31605-7762

Phone

(229) 300-9665

NPI assigned

Feb 10, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2021.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1699367649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 WALSTINE LN",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057762",
            "telephone_number": "229-300-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 WALSTINE LN",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057762",
            "telephone_number": "229-300-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "LYNNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

• Carter Adams, NP-BC
• Cornelia Adams, CRNA
• Debra Ann Adams, A.P.R.N
• Joan Adams
• Katharine Susan Adams, PHD
• Meredith L Adams, CRNA
• Evi Addoh
• Felicia Renee Adkins, APRN, FNP-C
• Adoration Home Health Care Georgia, LLC
• Advanced Dental Care

All providers in Valdosta, GA · Contractor in Georgia