Active NPI
Lynn R Yocom
- Occupational Therapist
- Anaconda, MT
National Provider Identifier
1699921080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 475
- Practice address
- 523 Hickory St
Anaconda, MT 59711-2918 - Phone
- (406) 563-4285
- NPI assigned
- Aug 18, 2008
- Last updated
- Aug 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 475 | MT | Primary |
Addresses
Primary practice location
523 Hickory St
Anaconda, MT 59711-2918
Mailing address
523 Hickory St
Anaconda, MT 59711-2918
Phone (406) 563-4285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 475 | Other | MT | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 475 | MT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1699921080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 HICKORY ST",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597112918",
"telephone_number": "406-563-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 HICKORY ST",
"city": "ANACONDA",
"state": "MT",
"postal_code": "597112918",
"telephone_number": "406-563-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOCOM",
"first_name": "LYNN",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MT",
"license": "475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "475",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaconda, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.