Individual provider Active NPI

Joan Yvonne Lyn, D.O.

  • Family Medicine Physician
  • North Miami Beach, FL
National Provider Identifier
1871666214
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 9954 Issued in FL
Practice address
17 NW 168TH St
North Miami Beach, FL 33169-6027
Phone
(786) 955-6089
Fax
(786) 955-6091
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X OS9954 FL
Family Medicine Physician 207Q00000X OS 9954 FL Primary

Addresses

Primary practice location

17 NW 168TH St
North Miami Beach, FL 33169-6027

Mailing address

6488 SW 25TH St
Miramar, FL 33023-2800
Phone (954) 625-5061

Other practice location 1

17 NW 168th St
North Miami Beach, FL 33169-6027
Phone (954) 625-5061

Other names 1

  • Joan Yvonne Cross Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL drjoanlynfamily@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070605000115 FL Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7113025867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 NW 168TH St
North Miami Beach, FL 33169-6027
Phone (786) 955-6089

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 9954FLMDFamily Medicine Physician
OS9954FLMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Joan Lyn Family Medicine P a Current Accepting new patients
Dr Joan Lyn Family Medicine P a Single Specialty CurrentSince Dec 1, 2006 Accepting new patients
Cardiology Associates of North Miami Beach PA Single Specialty Past Accepting new patients
Harmony CMHC Inc Single Specialty Past Accepting new patients

Locations

17 NW 168th St
North Miami Beach, FL 33169
Phone (305) 301-0826

Interoperability endpoints

  • Direct secure messaging: joan.lyn.1@12582.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1871666214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 SW 25TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330232800",
            "telephone_number": "954-625-5061",
            "fax_number": "786-955-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NW 168TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696027",
            "telephone_number": "786-955-6089",
            "fax_number": "786-955-6091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 NW 168th St",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331696027",
            "country_code": "US",
            "telephone_number": "954-625-5061",
            "fax_number": "786-955-6091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYN",
        "first_name": "JOAN",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-11-04",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "OS9954",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS 9954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjoanlynfamily@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office e-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "17 NW 168th St",
            "city": "North Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331696027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "CROSS",
            "middle_name": "YVONNE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.