Marva Deane Lynch-Phelps

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP 1345192 Issued in FL

Practice address

13813 Metro Pkwy
Fort Myers, FL 33912-4343

Phone

(239) 936-1343

Fax

(239) 936-8507

NPI assigned

Aug 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Hospice and Community Services, Inc

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1114225745
  NPD
• Internal Medicine Associates of Lee County Hospitalist Group, LLC

  • Hospitalist Physician
  • Fort Myers, FL
  • NPI 1033402185
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1821498098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62707",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339062707",
            "telephone_number": "239-938-9184",
            "fax_number": "239-313-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13813 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124343",
            "telephone_number": "239-936-1343",
            "fax_number": "239-936-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH-PHELPS",
        "first_name": "MARVA",
        "middle_name": "DEANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 1345192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "Y0Q82",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014372900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Luxottica Retail North America Inc
• Luxvil Medical Center Inc
• Marisa Nicole Luz
• Daniel Joseph Lynch, ARNP
• Leah Lynch, M.D.
• Amy Lynn Lyons, LMT
• Connor Joseph Lyons, CRNA
• Daniel Lyons, PT, DPT

• Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.