Individual provider Active NPI

Susan Louise Lyons, FNP

  • Family Nurse Practitioner
  • Lake Orion, MI
National Provider Identifier
1114290343
Registry record updated Feb 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704190177 Issued in MI
Practice address
785 N Lapeer Rd
Suite 100
Lake Orion, MI 48362-4012
Phone
(248) 693-4271
NPI assigned
Feb 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704190177 MI Primary

Addresses

Primary practice location

785 N Lapeer Rd
Suite 100
Lake Orion, MI 48362-4012

Mailing address

2965 Wallsend Dr
Waterford, MI 48329-3363
Phone (248) 860-5165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20140303001094 MI Practitioner - Nurse Practitioner 7416187943 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Health Services CurrentSince Feb 2, 2014 Accepting new patients
Hurley Medical Center CurrentSince Feb 1, 2016 Accepting new patients
Hurley Medical Center CurrentSince Feb 1, 2016 Accepting new patients
Hurley Health Services CurrentSince Feb 2, 2014 Accepting new patients
James Bauer, M.D., P.C. Past Accepting new patients

Locations

4272 W Vienna Rd
Clio, MI 48420
Phone (810) 687-2850

1125 S Linden Rd
Ste 210
Flint, MI 48532
Phone (810) 230-3370

1 Hurley Plz
Ste 300
Flint, MI 48503

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11202/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1329609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329609600000",
    "number": "1114290343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 WALLSEND DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293363",
            "telephone_number": "248-860-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 N LAPEER RD",
            "address_2": "SUITE 100",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483624012",
            "telephone_number": "248-693-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "SUSAN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-19",
        "last_updated": "2012-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704190177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

Verify at the official NPI Registry.