Individual provider Active NPI

Lynda Sherland, APRN-FNP

  • Family Nurse Practitioner
  • Wayne, PA
National Provider Identifier
1700963105
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP021446 Issued in PA
Practice address
200 Eagle Rd Ste 208
Wayne, PA 19087-3115
Phone
(888) 702-7974
Fax
(888) 702-7974
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01242800 NJ
Family Nurse Practitioner 363LF0000X LG-0011845 DE
Family Nurse Practitioner 363LF0000X 505020 TX
Family Nurse Practitioner 363LF0000X AP109543 TX
Family Nurse Practitioner 363LF0000X SP021446 PA Primary

Addresses

Primary practice location

200 Eagle Rd Ste 208
Wayne, PA 19087-3115

Mailing address

200 Eagle Rd
Wayne, PA 19087-3115
Phone (888) 702-7974

Other identifiers 1

IdentifierTypeStateIssuer
1638736MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Aug 2, 2016 through Aug 2, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0011845DEMDFamily Nurse Practitioner
26NJ01242800NJMDFamily Nurse Practitioner
SP021446PAMDFamily Nurse Practitioner
AP109543TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Rehabilitation PLLC CurrentSince Sep 12, 2021 Accepting new patients
Hope Palliative Services Past Accepting new patients
Hope Hospice PastSince May 1, 2021 Accepting new patients

Locations

200 Eagle Rd
Ste 208
Wayne, PA 19087
Phone (888) 702-7974

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1700963105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAGLE RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873115",
            "telephone_number": "888-702-7974",
            "fax_number": "888-702-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAGLE RD STE 208",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190873115",
            "telephone_number": "888-702-7974",
            "fax_number": "888-702-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERLAND",
        "first_name": "LYNDA",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01242800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011845",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "505020",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP109543",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1638736",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

Verify at the official NPI Registry.