Active NPI
Shamika McCowan-Lynch, LPN
- Licensed Practical Nurse
- Wentzville, MO
National Provider Identifier
1932797289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 2009010108
- Practice address
- 44 Woodwind CT
Wentzville, MO 63385-5555 - Phone
- (636) 980-6807
- NPI assigned
- Jan 4, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2009010108 | MO | Primary |
Addresses
Primary practice location
44 Woodwind CT
Wentzville, MO 63385-5555
Mailing address
44 Woodwind CT
Wentzville, MO 63385-5555
Phone (636) 980-6807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 851133056 | Other | MO | PRIVATE PAY, LONG TERM CARE INSURANCE |
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 |
|---|---|---|---|
| 2009010108 | MO | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1932797289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 WOODWIND CT",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633855555",
"telephone_number": "636-980-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 WOODWIND CT",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633855555",
"telephone_number": "636-980-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOWAN-LYNCH",
"first_name": "SHAMIKA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "MO",
"license": "2009010108",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE PAY, LONG TERM CARE INSURANCE",
"identifier": "851133056",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.