SHANE LYNN (NPI# 1770056384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770056384 |
| Entity Type | Organization |
| Organization Name | SHANE LYNN |
| Practice Address |
10537 Fl-54 New Port Richey FL 74655 |
| Mailing Address |
1559 S Fredrica Ave Clearwater FL 33756-3203 |
| Practice Telephone | 7273751140 |
| Mailing Telephone | 7272753601 |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2019-01-07 |
| Authorized Official Name | SHANE LYNN (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Telephone | 7276414435 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2843 Palm Harbor Blvd, Palm Harbor, FL 346831926 | 7277720038 |
| Street Address |
10537 FL-54 |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 74655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013233 | Sertoma Speech & Hearing Foundation of Florida Inc | Audiologist | 6333 River Rd, New Port Richey, FL 34652-2223 | 2020-11-04 |
| 1053912238 | New Port Richey Primary Care Associates | Family Medicine | 4772 Us Highway 19, New Port Richey, FL 34652-4944 | 2020-11-04 |
| 1740881986 | Healing Hands Home Health | Home Health | 6611 Us Highway 19 Ste 204, New Port Richey, FL 34652-1732 | 2020-11-04 |
| 1992304042 | Dawn Marie Decker-bowe | Nurse Practitioner | 7735 Hampton Hills Loop, New Port Richey, FL 34654-6206 | 2020-10-20 |
| 1851999056 | Kimberli Loumakos | Behavior Technician | 5234 State Rd. Fl-54, New Port Richey, FL 34652 | 2020-10-12 |
| 1922605922 | Andrea Babb | Behavior Technician | 5234 State Road 54, New Port Richey, FL 34652-6049 | 2020-10-03 |
| 1710594973 | Rodney A Friend Md Pa | Preventive Medicine | 7625 Cita Ln Unit 102, New Port Richey, FL 34653-6218 | 2020-09-30 |
| 1518574565 | Mary Jean Coleman | Social Worker | 11618 White Ash Dr, New Port Richey, FL 34654-1934 | 2020-09-24 |
| 1871100917 | Emergency and Interventional Specialists, Inc | Radiology | 5626 Gulf Dr Ste 100, New Port Richey, FL 34652-4020 | 2020-09-23 |
| 1689280083 | Wendy Del Rosario Toledo Machado | Custodial Care Facility | 7101 Green St, New Port Richey, FL 34652-1630 | 2020-09-21 |
| Find all providers in NEW PORT RICHEY | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679924146 | Shane Lynn | Nurse Practitioner | 10537 Sr-54, New Port Richey, FL 34655-3465 | 2016-06-27 |
| 1063439750 | Pk Health Services LLC | Nurse Practitioner | 4113 Little Rd, Unit 103, New Port Richey, FL 34655-1716 | 2006-07-17 |
| 1811514342 | William Thomas Manley | Nurse Practitioner | 5637 Marine Pkwy, New Port Richey, FL 34652-4316 | 2020-07-01 |
| 1457973034 | Melanie Kim Gramling | Nurse Practitioner | 9912 Little Rd, New Port Richey, FL 34654-3419 | 2020-05-18 |
| 1942635016 | Sarah Rocrou | Nurse Practitioner | 4800 Rowan Rd, New Port Richey, FL 34653-5609 | 2013-09-09 |
| 1841576139 | Andrena M Mcgroarty | Nurse Practitioner | 6804 Cecelia Dr, New Port Richey, FL 34653-4935 | 2011-10-31 |
| 1841514130 | Marianne Elizabeth Casp | Nurse Practitioner | 9912 Little Rd, New Port Richey, FL 34654-3419 | 2010-03-16 |
| 1023207297 | Juliet Fay | Nurse Practitioner | 5207 Trouble Creek Rd, New Port Richey, FL 34652-4915 | 2007-10-23 |
| 1508825407 | Jeanne Ryan Botz | Nurse Practitioner | 9912 Little Rd, New Port Richey, FL 34654-3419 | 2006-03-20 |
| 1053388751 | Doris M Konyha | Nurse Practitioner | 9912 Little Rd, New Port Richey, FL 34654-3419 | 2006-03-02 |
| Find all providers in NEW PORT RICHEY | ||||
| City | NEW PORT RICHEY |
| Zip Code | 74655 |
Please comment or provide details below to improve the information on SHANE LYNN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.