MR. KIYUN MAURICE LYNCH (NPI# 1972056323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972056323 |
| Entity Type | Individual |
| Full Name | MR. KIYUN MAURICE LYNCH |
| Credential | LAT, ATC |
| Practice Address |
10800 Dennis Chavez Blvd Sw Albuquerque NM 87121-5498 |
| Practice Telephone | 5052431458 |
| Mailing Telephone | 5052431458 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
635 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10800 DENNIS CHAVEZ BLVD SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-5498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861727570 | Judy Martinez | Speech-Language Pathologist | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2009-10-14 |
| 1114561446 | Melissa Parker | Registered Nurse | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2019-10-30 |
| 1629623335 | Patrick Parker | Registered Nurse | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2019-08-08 |
| 1366911596 | Denise Portell | Registered Nurse | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2018-11-16 |
| 1871073106 | Francesca Apodaca | Social Worker | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2018-08-16 |
| 1275012486 | Priscilla Casas | Registered Nurse | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2018-08-08 |
| 1649787201 | Andrea Diane Zummo | Nurse Practitioner | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2018-01-04 |
| 1184164139 | Zainab Aldaoseri | Family Medicine | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2017-02-24 |
| 1962804930 | Erin Bonham Rayburn | Physician Assistant | 10800 Dennis Chavez Blvd Sw, Albuquerque, NM 87121-5498 | 2014-09-22 |
| 1780988923 | Nicole Laroe Stromberg | Physician Assistant | 10800 Dennis Chavez Blvd Sw, Atrisco Heritage Clinic, Albuquerque, NM 87121-5498 | 2011-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447867403 | Hayley Lucero | Specialist/Technologist | 2300 Diamond Mesa Trl Sw Apt 9702, Albuquerque, NM 87121-3723 | 2020-09-24 |
| 1518504885 | Douglas Richard Spence | Specialist/Technologist | 2920 Leopoldo Rd Nw, Albuquerque, NM 87104-2728 | 2019-12-05 |
| 1972155349 | Daisuke Shibata | Specialist/Technologist | 1 University of New Mexico # 42610, Albuquerque, NM 87131-0001 | 2019-07-15 |
| 1922562685 | Keliana De Neef | Specialist/Technologist | 1155 University Blvd Se, Albuquerque, NM 87106-4320 | 2019-01-28 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1942782453 | Sean Yun Chu | Specialist/Technologist | 1531 Barbaro Dr Se, Albuquerque, NM 87123-2690 | 2018-08-30 |
| 1487161550 | Jensen D Bryan | Specialist/Technologist | 1741 Bellamah Ave Nw Apt 4308, Albuquerque, NM 87104-2263 | 2018-01-10 |
| 1609382613 | Miranda Hammer | Specialist/Technologist | 10619 Antler Tool Rd Sw, Albuquerque, NM 87121-5433 | 2017-12-28 |
| 1831645498 | Ryan Ortiz | Specialist/Technologist | 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 | 2016-09-01 |
| 1578019295 | Eryka Paredes | Specialist/Technologist | 9528 Granite Ridge Dr. Nw, Albuquerque, NM 87114-3774 | 2016-09-01 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
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| 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.