Active NPI
Charlotte J. Lynch, R.N., M.S., C.N.S.
- Psychiatric/Mental Health Clinical Nurse Specialist
- Beavercreek, OH
National Provider Identifier
1891744074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- NS-04365
- Practice address
- 3121 Evelyn Dr
Suite 110
Beavercreek, OH 45434-6382 - Phone
- (937) 320-0755
- Fax
- (937) 320-1589
- NPI assigned
- May 8, 2006
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | NS-04365 | OH | Primary |
Addresses
Primary practice location
3121 Evelyn Dr
Suite 110
Beavercreek, OH 45434-6382
Mailing address
3121 Evelyn Dr
Suite 110
Beavercreek, OH 45434-6382
Phone (937) 320-0755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NS-04365 | Other | OH | BOARD OF NURSING LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NS-04365 | OH | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter a. Ramirez, M.D. & Associates LLC | Past | Accepting new patients |
Interoperability endpoints
- charlotte.lynch.2@10693.direct.athenahealth.com
- charlotte.lynch.1@10693.direct.athenahealth.com
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.
-
- Psychiatry Physician
- Beavercreek, OH
- NPI 1336104116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891744074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 EVELYN DR",
"address_2": "SUITE 110",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454346382",
"telephone_number": "937-320-0755",
"fax_number": "937-320-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 EVELYN DR",
"address_2": "SUITE 110",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454346382",
"telephone_number": "937-320-0755",
"fax_number": "937-320-1589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "CHARLOTTE",
"middle_name": "J.",
"credential": "R.N., M.S., C.N.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "OH",
"license": "NS-04365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF NURSING LICENSE",
"identifier": "NS-04365",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.