Sharon Ruth Lyons, CNP
Individual provider Active NPI Adult Health Nurse Practitioner · Cleveland, OH
NPI 1114019668 · NPPES record last updated Aug 9, 2012
Key facts
- NPI
- 1114019668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- NP08910 (OH)
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (216) 445-5253
- Fax
- (216) 445-2806
- NPI assigned
- Sep 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061102000472 | OH | Practitioner - Nurse Practitioner | 7911904008 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP08910 | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Hospital | Current | Accepting new patients | |
| St Augustine Manor | Current |
Accepting new patients | |
| Alere Home Monitoring, Inc. | Current |
Accepting new patients | |
| St Augustine Manor | Current |
Accepting new patients | |
| Fairview Hospital | Current |
Accepting new patients | |
| Ohio Nurse Practitioners, Inc. | Past | Accepting new patients | |
| NP Care of Ohio, LLC | Past | Accepting new patients |
Locations
7801 Detroit Ave
Cleveland, OH 44102
Phone (216) 634-7400
10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6707 State Rd
Parma, OH 44134
Phone (440) 885-3100
25125 Detroit Rd
Ste 130
Westlake, OH 44145
Phone (440) 808-1777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | NP08910 | OH | Yes |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
859 Gladden Rd
Columbus, OH 43212-3812
Phone (614) 291-8990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP08910 | Other | OH | NP LICENSE |
| RN302904 | Other | OH | RN LICENSE |
Other providers in Cleveland, OH
- Kia'Lee A Lyons
- Matthew Jason Lyons
- Michaela Lyons
- Patrick Lydell Lyons
- Preshious Markia Lyons
- Thomas Lyons
- Trisha Lyons
- Anne Lyren
- Bruce W Lytle
- Sarah M Lytle
All providers in Cleveland, OH · Adult Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.