Individual provider Active NPI

Charlotte J. Lynch, R.N., M.S., C.N.S.

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Beavercreek, OH
National Provider Identifier
1891744074
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
NS-04365 Issued in OH
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NS-04365OtherOHBOARD 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

LicenseStateTypeSpecialty
NS-04365OHMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter a. Ramirez, M.D. & Associates LLC PastSince May 1, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charlotte.lynch.2@10693.direct.athenahealth.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.