Kristin Bull Lyon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6697-123 Issued in WI

Practice address

515 Bowman Avenue
Madison, WI 53716-1703

Phone

(608) 226-0240

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kristin Lyn Bull Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1043586357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 BOWMAN AVENUE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161703",
            "telephone_number": "608-226-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BOWMAN AVENUE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537161703",
            "telephone_number": "608-226-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL LYON",
        "first_name": "KRISTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "6697-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES",
            "identifier": "6697-123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "BULL",
            "middle_name": "LYN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie Lynn Buisse, NP
• Maria Bulat
• Natasha Bulat
• Julia A Bulatowicz, PT
• Bethany K Bulgrin, NP
• Kenneth C Bull, R.N.
• Matthew Bull
• McKinney Bull, MD
• Rebecca Bull, MD
• Luke Bullard

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.