Active NPI
Rebecca L Lynch, PA-C
- Physician Assistant
- Owasso, OK
National Provider Identifier
1710926886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4383
- Practice address
- 12410 E 86TH St N
Owasso, OK 74055-2500 - Phone
- (918) 272-0033
- Fax
- (918) 272-0039
- NPI assigned
- Jun 5, 2006
- Last updated
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4383 | OK | Primary |
Addresses
Primary practice location
12410 E 86TH St N
Owasso, OK 74055-2500
Mailing address
PO Box 218
Chelsea, OK 74016-0218
Phone (918) 272-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200343740A | Medicaid | OK |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4383 | OK | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oklahoma Pain and Wellness Center, PLC | Past | Accepting new patients | |
| Preferred Medical Associates | Physician Assistant | Past | Accepting new patients |
| Generations Family Counseling | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1376862771
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- Hillsboro, KS
- NPI 1457381170
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1710926886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 218",
"city": "CHELSEA",
"state": "OK",
"postal_code": "740160218",
"telephone_number": "918-272-0033",
"fax_number": "918-272-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12410 E 86TH ST N",
"city": "OWASSO",
"state": "OK",
"postal_code": "740552500",
"telephone_number": "918-272-0033",
"fax_number": "918-272-0039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "REBECCA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-05",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "4383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200343740A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.