ROCHELLE MARIE LYNAM MPH PA-S NPI 1215190798

NPI Information

NPI: 1215190798
Provider Name: ROCHELLE MARIE LYNAM, MPH, PA-S
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: BLOOM CARE LLC

PECOS Registration: Yes

Address:
211 16TH AVE N
NAMPA, ID
ZIP 83687
Phone: (208) 467-4431
Get Directions

Rochelle Marie Lynam, MPH, PA-S is a medical physician assistant in Nampa, ID with 16 years of experience. Rochelle Marie Lynam, MPH, PA-S NPI is 1215190798. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

211 16TH AVE N
NAMPA, ID
ZIP 83687-058
Phone: (208) 467-4431
Fax: (208) 467-7684

The NPI 1215190798 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2008 and was last updated on 1/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA60049562	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00691526	OTHER	WASHINGTON	RAILROAD MEDICARE
2	G8877032	MEDICARE PIN	WASHINGTON
3	500606345	MEDICAID	OREGON
4	8528598	MEDICAID	WASHINGTON
5	0242920	OTHER	WASHINGTON	LABOR & INDUSTRIES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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