Active NPI
Susan R Lynch, NP
- Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1760462303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 104402
- Practice address
- 725 Glenwood Drive
Suite E-788
Chattanooga, TN 37404-7117 - Phone
- (423) 495-3940
- Fax
- (423) 495-3949
- NPI assigned
- Jan 19, 2006
- Last updated
- Jul 20, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 104402 | TN | Primary |
| Registered Nurse | 163W00000X | 104402 | TN |
Addresses
Primary practice location
725 Glenwood Drive
Suite E-788
Chattanooga, TN 37404-7117
Mailing address
725 Glenwood Drive
Suite E-788
Chattanooga, TN 37404-7117
Phone (423) 495-3940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041201000576 | TN | Practitioner - Nurse Practitioner | 1052376001 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 92.6
- Promoting interoperability
- 93.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104402 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation Inc | Current | Accepting new patients |
Interoperability endpoints
- susan.lynch@488678167609348.direct.elationemr.com
- susanlynch@tnmhpf.allscriptsdirect.net
Organizations & group practices 1
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.
-
dba CHI Memorial Family Practice Associates - Trenton
- Rural Health Clinic/Center
- Trenton, GA
- NPI 1467602482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311120000000",
"number": "1760462303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 GLENWOOD DRIVE",
"address_2": "SUITE E-788",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374047117",
"telephone_number": "423-495-3940",
"fax_number": "423-495-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 GLENWOOD DRIVE",
"address_2": "SUITE E-788",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374047117",
"telephone_number": "423-495-3940",
"fax_number": "423-495-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "SUSAN",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2011-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "104402",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "104402",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.