Active NPI
Ashley Marie Lyons
- Physician Assistant
- Virginia Beach, VA
National Provider Identifier
1104387539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006757
- Practice address
- 2501 James Madison Dr
Virginia Beach, VA 23456-9107 - Phone
- (757) 803-8132
- NPI assigned
- Mar 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0110006757 | VA | |
| Physician Assistant | 363A00000X | 0110006757 | VA | Primary |
Addresses
Primary practice location
2501 James Madison Dr
Virginia Beach, VA 23456-9107
Mailing address
1064 Laskin Rd Ste 14C
Virginia Beach, VA 23451-6337
Other practice location 1
1064 Laskin Rd Ste 14C
Virginia Beach, VA 23451-6337
Phone (757) 233-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110006757 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Psychiatry LLC | Physician Assistant | Current | Accepting new patients |
| Tidewater Psychotherapy Services | Past | Accepting new patients |
Locations
8401 Mayland Dr
Ste 8226
Henrico, VA 23294
8401 Mayland Dr
Ste A
Richmond, VA 23294
Phone (703) 859-2848
Organizations & group practices 5
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.
-
- Physician Assistant
- Carrollton, VA
- NPI 1295533677
-
- Professional Counselor
- Virginia Beach, VA
- NPI 1336510254
-
- Psychiatric/Mental Health Nurse Practitioner
- Norfolk, VA
- NPI 1851909998
-
- Geriatric Medicine (Internal Medicine) Physician
- Norfolk, VA
- NPI 1225557556
-
- Addiction (Substance Use Disorder) Counselor
- Virginia Beach, VA
- NPI 1164536496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1104387539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1064 LASKIN RD STE 14C",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234516337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 JAMES MADISON DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234569107",
"telephone_number": "757-803-8132"
}
],
"practiceLocations": [
{
"address_1": "1064 Laskin Rd Ste 14C",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234516337",
"country_code": "US",
"telephone_number": "757-233-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYONS",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2022-10-06",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0110006757",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.