Individual provider Active NPI

Joy Lynne Brychta, RN, NP

  • Women's Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1699926063
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
668889 Issued in CA
Practice address
11230 Sorrento Valley Rd
Suite 120
San Diego, CA 92121-1332
Phone
(858) 546-7600
Fax
(858) 408-4281
NPI assigned
Oct 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 668889 CA Primary

Addresses

Primary practice location

11230 Sorrento Valley Rd
Suite 120
San Diego, CA 92121-1332

Mailing address

11230 Sorrento Valley Rd
Suite 120
San Diego, CA 92121-1332
Phone (858) 546-7600

Other names 1

  • Joy Lynne Wilson Former name

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)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
668889CAMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1699926063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 SORRENTO VALLEY RD",
            "address_2": "SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211332",
            "telephone_number": "858-546-7600",
            "fax_number": "858-408-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 SORRENTO VALLEY RD",
            "address_2": "SUITE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211332",
            "telephone_number": "858-546-7600",
            "fax_number": "858-408-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYCHTA",
        "first_name": "JOY",
        "middle_name": "LYNNE",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "668889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "WILSON",
            "middle_name": "LYNNE",
            "credential": "RN, NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.