Active NPI
Casidee R Lynch, PA-C
- Medical Physician Assistant
- Citrus Heights, CA
National Provider Identifier
1881243129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- TC084
- Practice address
- 6912 Trailride Way
Citrus Heights, CA 95621-3323 - Phone
- (916) 838-6557
- NPI assigned
- Sep 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | TC084 | Primary |
Addresses
Primary practice location
6912 Trailride Way
Citrus Heights, CA 95621-3323
Mailing address
1015 Dupont Rd
Louisville, KY 40207-4610
Phone (502) 883-0227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 Dupont Rd
Louisville, KY 40207-4610
Phone (502) 883-0227
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Lung Care PLLC | Medical | Current | Accepting new patients |
Locations
1015 DuPont Rd
Louisville, KY 40207
Phone (502) 883-0227
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1881243129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 DUPONT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074610",
"telephone_number": "502-883-0227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6912 TRAILRIDE WAY",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956213323",
"telephone_number": "916-838-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "CASIDEE",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-09",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": "TC084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.