Edward Lyons, APRN,BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN29610 Issued in RI

Practice address

345 Blackstone Blvd
Weld BLDG
Providence, RI 02906-4800

Phone

(401) 421-0060

Fax

(401) 421-6676

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

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.

• Community Care Alliance

  • Community/Behavioral Health Agency
  • Woonsocket, RI
  • NPI 1437191061
  Medicare reassignment NPD
• Christine Richards LLC

  • Mental Health Counselor
  • Attleboro, MA
  • NPI 1194395657
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1053499178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 JOHN A CUMMINGS WAY",
            "address_2": "WELD BLDG",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028953247",
            "telephone_number": "401-235-7469",
            "fax_number": "401-767-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 BLACKSTONE BLVD",
            "address_2": "WELD BLDG",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064800",
            "telephone_number": "401-421-0060",
            "fax_number": "401-421-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "EDWARD",
        "credential": "APRN,BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN29610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn H Sommerville MD PHD
• Jamie Lee Lynn, LCSW
• Keara Meredith Lynn, MD
• David Lyon H. Lyon, PSY.D.
• Deborah Lee Lyon, AU.D, CCC/A, F-AAA
• Kristin E Lyons, MSW
• Rachel Lyons, NP
• Xiuhong Lyu, MD
• M. David Beitle, M.D., Inc
• Zeina Wajdi Maani, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Providence, RI
• Providers in Providence, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.