Active NPI
Lynne Thall, APRN
- Family Nurse Practitioner
- Eustis, FL
National Provider Identifier
1891243986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9336466
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0244507143 | Medicaid | FL |
Other names 1
- Lynne Thall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9336466 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Health, Inc. | Current | Accepting new patients | |
| Brightside Medical, P.C. | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.