Active NPI
Lynne Rochelle Hricik
- Medical Physician Assistant
- Cranberry TWP, PA
National Provider Identifier
1750152948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1010116
- Practice address
- 213 Executive Dr Ste 240
Cranberry TWP, PA 16066-6405 - Phone
- (724) 772-9797
- Fax
- (724) 772-3309
- NPI assigned
- Jan 16, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | MA00946L | PA | |
| Medical Physician Assistant | 363AM0700X | MA000946L | PA | |
| Medical Physician Assistant | 363AM0700X | 1010116 | PA | Primary |
Addresses
Primary practice location
213 Executive Dr Ste 240
Cranberry TWP, PA 16066-6405
Mailing address
501 Jackson Blvd
Freedom, PA 15042-2842
Phone (724) 774-3050
Other names 1
- Mrs. Lynne Durnell
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00946L | PA | MD | Adult Medicine Physician |
| 1010116 | PA | MD | Medical Physician Assistant |
| MA000946L | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1750152948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 JACKSON BLVD",
"city": "FREEDOM",
"state": "PA",
"postal_code": "150422842",
"telephone_number": "724-774-3050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 EXECUTIVE DR STE 240",
"city": "CRANBERRY TWP",
"state": "PA",
"postal_code": "160666405",
"telephone_number": "724-772-9797",
"fax_number": "724-772-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HRICIK",
"first_name": "LYNNE",
"middle_name": "ROCHELLE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-16",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "PA",
"license": "MA00946L",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA000946L",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "1010116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNNE",
"last_name": "DURNELL",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cranberry TWP, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.