Phyllis Jane Lyons, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

106877 Issued in OH

Practice address

118 Lakewood Dr
Bellefontaine, OH 43311-2800

Phone

(937) 599-3407

NPI assigned

Oct 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1003191727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 LAKEWOOD DR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112800",
            "telephone_number": "937-599-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 LAKEWOOD DR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433112800",
            "telephone_number": "937-599-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "PHYLLIS",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "106877",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "OH",
            "license": "77459",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "106877",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Family Medical Center LLC
• Logan View LLC
• Logan View Pediatrics
• Larisa Lomeli
• Melanie Longbrake
• Lori Maben, LPN
• Clare E Macaulay, D.D.S.
• Stacy Maggart, HIS
• Nima Malakooti, M.D.
• Annette Malone, MD

• Registered Nurse in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.