Individual provider Active NPI

Lydia C Buyco, ADULT NP

  • Adult Health Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1013986686
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71001113A Issued in IN
Practice address
9330 South Broadway Blvd
Crown Point, IN 46307-8602
Phone
(219) 662-5072
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71001113A IN Primary

Addresses

Primary practice location

9330 South Broadway Blvd
Crown Point, IN 46307-8602

Mailing address

9330 South Broadway Blvd
Crown Point, IN 46307-8602
Phone (219) 662-5072

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
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1013986686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 SOUTH BROADWAY BLVD",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078602",
            "telephone_number": "219-662-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 SOUTH BROADWAY BLVD",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078602",
            "telephone_number": "219-662-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUYCO",
        "first_name": "LYDIA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "ADULT NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71001113A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.