Individual provider Active NPI

Lynne Thall, APRN

  • Family Nurse Practitioner
  • Eustis, FL
National Provider Identifier
1891243986
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9336466 Issued in FL
Practice address
1241 Overlook Rd
Eustis, FL 32726-5343
Phone
(321) 228-8033
Fax
(352) 352-2955
NPI assigned
Sep 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9336466 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9336466 FL

Addresses

Primary practice location

1241 Overlook Rd
Eustis, FL 32726-5343

Mailing address

1241 Overlook Rd
Eustis, FL 32726-5343
Phone (321) 228-8033

Other identifiers 1

IdentifierTypeStateIssuer
0244507143MedicaidFL

Other names 1

  • Lynne Thall Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170524002974 FL Practitioner - Nurse Practitioner 0244507143 Reassigns benefits to 1 organization
I20231117001280 TX Practitioner - Nurse Practitioner 0244507143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9336466FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Brightside Medical, P.C. CurrentSince Nov 1, 2023 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

Organizations & group practices 2

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": "1474070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1891243986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 OVERLOOK RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265343",
            "telephone_number": "321-228-8033",
            "fax_number": "352-352-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 OVERLOOK RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327265343",
            "telephone_number": "321-228-8033",
            "fax_number": "352-352-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THALL",
        "first_name": "LYNNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-17",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9336466",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9336466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244507143",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNE",
            "last_name": "THALL",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eustis, FL

Sources for this page

Verify at the official NPI Registry.