Active NPI
Lynette McAnulty
- School Registered Nurse
- Belleville, IL
National Provider Identifier
1932672722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 041.291195
- Practice address
- 40 Signal Hill PL
Belleville, IL 62223-1699 - Phone
- (618) 397-0325
- Fax
- (618) 397-2828
- NPI assigned
- Jan 4, 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 041.291195 | IL | Primary |
Addresses
Primary practice location
40 Signal Hill PL
Belleville, IL 62223-1699
Mailing address
40 Signal Hill PL
Belleville, IL 62223-1699
Phone (618) 397-0325
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.291195 | IL | MD | School Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signal Hill School District 181 | Past | Accepting new patients |
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.
-
- Local Education Agency (LEA)
- Belleville, IL
- NPI 1760683726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1932672722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SIGNAL HILL PL",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622231699",
"telephone_number": "618-397-0325",
"fax_number": "618-397-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SIGNAL HILL PL",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622231699",
"telephone_number": "618-397-0325",
"fax_number": "618-397-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCANULTY",
"first_name": "LYNETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-04",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "IL",
"license": "041.291195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.