Active NPI
Lynece S Griffin, LPN
- Licensed Practical Nurse
- Mastic, NY
National Provider Identifier
1760750426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 297048-1
- Practice address
- 56 Tonopan St
Mastic, NY 11950-4618 - Phone
- (631) 988-1834
- NPI assigned
- Dec 9, 2011
- Last updated
- Aug 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 297048-1 | NY | Primary |
Addresses
Primary practice location
56 Tonopan St
Mastic, NY 11950-4618
Mailing address
313 Waterside Rd
Northport, NY 11768-1234
Phone (631) 988-1834
Other names 1
- Lynece S Clark
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 |
|---|---|---|---|
| 297048-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1760750426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 WATERSIDE RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681234",
"telephone_number": "631-988-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 TONOPAN ST",
"city": "MASTIC",
"state": "NY",
"postal_code": "119504618",
"telephone_number": "631-988-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "LYNECE",
"middle_name": "S",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-09",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "297048-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNECE",
"last_name": "CLARK",
"middle_name": "S",
"credential": "LPN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mastic, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.