Lynne Kathleen Philley, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

308500-1 Issued in NY

Practice address

1819 Black River Blvd N
Rome, NY 13440-2451

Phone

(315) 338-7184

Fax

(315) 339-1975

NPI assigned

Jan 16, 2018

Sex

Female

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Ajay Goel Physician PC

  • Gastroenterology Physician
  • Rome, NY
  • NPI 1437244464
  Medicare reassignment NPD

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1881102580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HILL RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414237",
            "telephone_number": "315-338-7308",
            "fax_number": "315-338-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 BLACK RIVER BLVD N",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402451",
            "telephone_number": "315-338-7184",
            "fax_number": "315-339-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLEY",
        "first_name": "LYNNE",
        "middle_name": "KATHLEEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308500-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla M Perry, PT, DPT
• Peter Michael Perry, LPN
• Brianna Peterson, MS, ED., CCC-SLP
• Angela Marie Petty, LCSWR RNC
• Barbara Lee Pfendler Ruiz
• Eleanor Picente, LCSW, ACSW
• Robert Firth Pickels Jr., MD
• Lauren Pierson, O.D.
• Mary Rose Pike, REGISTERED NURSE
• Kaelyn Pillmore, FNP-C

• Adult Health Nurse Practitioner in Rome, NY
• Providers in Rome, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.