Active NPI
Brookh Susan Lyonns, D.C.
- Chiropractor
- Green Bay, WI
National Provider Identifier
1003064783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3860-12
- 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
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3860-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyons Health, LLC | Chiropractor | Past | 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.
-
- Chiropractor
- Green Bay, WI
- NPI 1740439108
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.