Lynette M. Valentine, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

85091-030 Issued in WI

Practice address

1288 Hastings St
Green Bay, WI 54301-2424

Phone

(920) 469-2014

NPI assigned

Feb 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234742400000",
    "number": "1831338797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1288 HASTINGS ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012424",
            "telephone_number": "920-469-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 HASTINGS ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012424",
            "telephone_number": "920-469-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "LYNETTE",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2009-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "85091-030",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "85091-030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Vachavake
• Vagabond Shoes, Inc.
• Dhwani A Vaishnav, MD
• Alexandra Deniz Valdez
• Dylan A. Valentine, DNP
• Michelle Valenzuela, MS
• Michael James Valerius, DNP, FNP-BC
• Joseph E Valley, MD
• Kimberly Van Abel, LPC
• Karen M Van Beek, APNP

• Registered Nurse in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.