Jennifer A Lyons, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN65969 Issued in MA

Practice address

401 Main St
Spencer, MA 01562-1909

Phone

(413) 733-3488

NPI assigned

Jan 24, 2025

Last updated

Jan 24, 2025By 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 names 1

• Jennifer A Sandstrom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1023175072
  NPD (past)

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1083426225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 373",
            "city": "EAST BROOKFIELD",
            "state": "MA",
            "postal_code": "015150373",
            "telephone_number": "508-887-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "city": "SPENCER",
            "state": "MA",
            "postal_code": "015621909",
            "telephone_number": "413-733-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN65969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SANDSTROM",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sierra L Lamonde
• Jeffrey H Lee, M.D.
• Emily Michelle Letendre
• Lodestar Counseling, PLLC
• Andrea Lussier, MS, CCC, SLP
• Ruth Waithira Maina, NP
• Robert Ernest Maloney, M.D.
• Stefanie Mandeville
• Yasmin Matos
• Elizabeth Mendez

• Licensed Practical Nurse in Spencer, MA
• Providers in Spencer, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.