Individual provider Active NPI

Lynne Parker

  • Nurse Practitioner
  • Ambler, PA
National Provider Identifier
1700135332
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP012246 Issued in PA
Practice address
301 Norristown Road
Ambler, PA 19002
Phone
(215) 628-8840
Fax
(215) 628-2037
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP012246 PA Primary

Addresses

Primary practice location

301 Norristown Road
Ambler, PA 19002

Mailing address

301 Norristown Rd.
Ambler, PA 19002
Phone (215) 628-8840

Other practice location 1

735 Susquehanna Road
Ft. Washington, PA 19034
Phone (215) 542-8787 ext. 21358

Other identifiers 1

IdentifierTypeStateIssuer
SP012246OtherPAPENNSYLVANIA MEDICAL 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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP012246PAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1700135332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NORRISTOWN RD.",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "215-628-8840",
            "fax_number": "215-628-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORRISTOWN ROAD",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "19002",
            "telephone_number": "215-628-8840",
            "fax_number": "215-628-2037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 Susquehanna Road",
            "address_purpose": "LOCATION",
            "city": "Ft. Washington",
            "state": "PA",
            "postal_code": "19034",
            "country_code": "US",
            "telephone_number": "215-542-8787 x21358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA MEDICAL LICENSE",
            "identifier": "SP012246",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.