Lynette Marie Azure, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2600 Issued in AZ

Practice address

320 4TH St SE
Devils Lake, ND 58301-3610

Phone

(701) 662-8128

NPI assigned

Aug 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Dahl Memorial Healthcare Association Inc

  • Critical Access Hospital Clinic/Center
  • Ekalaka, MT
  • NPI 1801065396
  NPD (past)
• Pine Ridge Indian Health Service Hospital

  dba Wanblee Health Center

  • Clinic/Center
  • Wanblee, SD
  • NPI 1962559518
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841208394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 4TH ST SE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013610",
            "telephone_number": "701-662-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 4TH ST SE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013610",
            "telephone_number": "701-662-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZURE",
        "first_name": "LYNETTE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danica Axtman
• Gabrielle Yvette Azure-Wallette
• Alayah S Azure
• Candace Maria Azure
• Clifford Azure
• Tifani Bachmeier
• Tania Lee Barnhart, CO60188340
• Allyson Bartlett
• Julie K Baumgarn, LPCC
• Michelle Marie Bazal, LAC

• Medical Physician Assistant in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Medical Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.