Active NPI
Kelsey Brooke Lynch
- Behavior Technician
- Springville, AL
National Provider Identifier
1730654575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6169 US Highway 11
Springville, AL 35146-4056 - Phone
- (205) 607-2066
- NPI assigned
- Oct 8, 2018
- Last updated
- Oct 8, 2018
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | AL | Primary |
Addresses
Primary practice location
6169 US Highway 11
Springville, AL 35146-4056
Mailing address
1088 Macdonald Lake Rd
Springville, AL 35146-3853
Phone (205) 451-3411
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1730654575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1088 MACDONALD LAKE RD",
"city": "SPRINGVILLE",
"state": "AL",
"postal_code": "351463853",
"telephone_number": "205-451-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6169 US HIGHWAY 11",
"city": "SPRINGVILLE",
"state": "AL",
"postal_code": "351464056",
"telephone_number": "205-607-2066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "KELSEY",
"middle_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.