Lynder Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

278390 Issued in KY

Legal business name

LYNDER MEDICAL

Practice address

2040 Madison Ave
Covington, KY 41014-1210

Phone

(859) 525-6623

Fax

(859) 525-6757

NPI assigned

Aug 5, 2007

Last updated

Jun 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynda Deluca-Rahe

Title

RN/Owner

Phone

(859) 525-6623

Specialties & licenses 2

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1972794121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410141210",
            "telephone_number": "859-525-6623",
            "fax_number": "859-525-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410141210",
            "telephone_number": "859-525-6623",
            "fax_number": "859-525-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDER MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "DELUCA-RAHE",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "RN/OWNER",
        "authorized_official_telephone_number": "859-525-6623"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "278390",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100011480",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000527338",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2769482",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Kaye Lown, MSN, APRN
• Grace Anne Lubbe, RD
• Shereta Luckett-Smith
• Norah Lunga, APRN
• Lauren Lynch, LCSW
• Rachel Michelle Lyons, MS, LPCC-S
• Jennifer Wilz Mahaney, LPCC-S
• Mainspring Wellness, LLC
• Make a Joyful Noise
• Adriana T Mapp, QMHS BA

• Durable Medical Equipment & Medical Supplies in Covington, KY
• Providers in Covington, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.