Individual provider Active NPI

Juliann Patricia Lyons, P.T., L.AC.

  • Acupuncturist
  • Alameda, CA
National Provider Identifier
1073731782
Registry record updated Jun 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC 8875 Issued in CA
Practice address
2241 Central Ave
Suite E
Alameda, CA 94501-4460
Phone
(510) 865-6361
Fax
(510) 865-6364
NPI assigned
Apr 20, 2007
Last updated
Jun 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 8875 CA Primary
Physical Therapist 225100000X PT16576 CA

Addresses

Primary practice location

2241 Central Ave
Suite E
Alameda, CA 94501-4460

Mailing address

2241 Central Avenue
Suite E
Alameda, CA 94501
Phone (510) 865-6361

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

LicenseStateTypeSpecialty
16576CAMDAcupuncturist
AC 8875CAMDAcupuncturist
PT16576CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212278400000",
    "number": "1073731782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 CENTRAL AVENUE",
            "address_2": "SUITE E",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "94501",
            "telephone_number": "510-865-6361",
            "fax_number": "510-865-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 CENTRAL AVE",
            "address_2": "SUITE E",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014460",
            "telephone_number": "510-865-6361",
            "fax_number": "510-865-6364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JULIANN",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "P.T., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2008-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 8875",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.