Active NPI
Susan Louise Lyons, FNP
- Family Nurse Practitioner
- Lake Orion, MI
National Provider Identifier
1114290343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704190177
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Health Services | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Health Services | Current | 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
- 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.
-
- Family Medicine Physician
- Clio, MI
- NPI 1558302497
-
- Nurse Practitioner
- Flint, MI
- NPI 1053347880
-
- Clinic/Center
- Lapeer, MI
- NPI 1164795357
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
- Family Medicine Physician
- Lake Orion, MI
- NPI 1982881033
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2012; 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.