Active NPI
Penny Lynch, ATC,LAS
- Athletic Trainer
- Washington, DC
National Provider Identifier
1801209754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A00298
- Practice address
- 19 Eye St NW
Gonzaga College HS
Washington, DC 20001 - Phone
- (202) 336-7104
- NPI assigned
- Jun 9, 2014
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A00298 | MD | Primary |
Addresses
Primary practice location
19 Eye St NW
Gonzaga College HS
Washington, DC 20001
Mailing address
19 Eye St NW
Gonzaga College HS
Washington, DC 20001
Phone (202) 336-7104
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 |
|---|---|---|---|
| A00298 | MD | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1801209754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 EYE ST NW",
"address_2": "GONZAGA COLLEGE HS",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20001",
"telephone_number": "202-336-7104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 EYE ST NW",
"address_2": "GONZAGA COLLEGE HS",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20001",
"telephone_number": "202-336-7104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "PENNY",
"credential": "ATC,LAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A00298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.