Active NPI
Lyn Wyble, OTR/L
- Specialist
- Mount Airy, NC
National Provider Identifier
1972969541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1579
- Practice address
- 314 S South St
Mount Airy, NC 27030-4491 - Phone
- (336) 719-7129
- Fax
- (336) 719-7396
- NPI assigned
- Jan 12, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 1579 | NC | Primary |
Addresses
Primary practice location
314 S South St
Mount Airy, NC 27030-4491
Mailing address
314 S South St
Mount Airy, NC 27030-4491
Phone (336) 719-7129
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 |
|---|---|---|---|
| 1579 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1972969541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 S SOUTH ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304491",
"telephone_number": "336-719-7129",
"fax_number": "336-719-7396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 S SOUTH ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304491",
"telephone_number": "336-719-7129",
"fax_number": "336-719-7396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYBLE",
"first_name": "LYN",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-12",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "1579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.