Individual provider Active NPI

Holly Michele Lynch, BSN,RN,PHN

  • School Registered Nurse
  • San Luis Obispo, CA
National Provider Identifier
1811828965
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
555504 Issued in CA
Practice address
3350 Education Dr
San Luis Obispo, CA 93405-7816
Phone
(805) 305-8694
Fax
(805) 546-0646
NPI assigned
May 27, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 555504 CA Primary

Addresses

Primary practice location

3350 Education Dr
San Luis Obispo, CA 93405-7816

Mailing address

2269 Plover CT
Arroyo Grande, CA 93420-5579
Phone (805) 305-8694

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
555504CAMDSchool Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1811828965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 PLOVER CT",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934205579",
            "telephone_number": "805-305-8694",
            "fax_number": "805-546-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 EDUCATION DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934057816",
            "telephone_number": "805-305-8694",
            "fax_number": "805-546-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "HOLLY",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "BSN,RN,PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "555504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.