Individual provider Active NPI

Brookh Susan Lyonns, D.C.

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1003064783
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3860-12 Issued in WI
Practice address
2920 S Webster Ave
Suite 100
Green Bay, WI 54301-1594
Phone
(920) 347-4884
Fax
(920) 347-4878
NPI assigned
Sep 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3860-12 WI Primary

Addresses

Primary practice location

2920 S Webster Ave
Suite 100
Green Bay, WI 54301-1594

Mailing address

2920 S Webster Ave
Suite 100
Green Bay, WI 54301-1594
Phone (920) 347-4884

Other names 1

  • Dr. Brookh Susan Robinson Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3860-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lyons Health, LLC Chiropractor PastSince Jan 30, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1003064783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 S WEBSTER AVE",
            "address_2": "SUITE 100",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011594",
            "telephone_number": "920-347-4884",
            "fax_number": "920-347-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 S WEBSTER AVE",
            "address_2": "SUITE 100",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011594",
            "telephone_number": "920-347-4884",
            "fax_number": "920-347-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONNS",
        "first_name": "BROOKH",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3860-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKH",
            "last_name": "ROBINSON",
            "middle_name": "SUSAN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.