Individual provider Active NPI

Tracy Dunn Lyons, NP

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1144467408
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5638 Issued in LA
Practice address
145 Yorktown Dr
Griffin Family Medicine Clinic
Alexandria, LA 71303
Phone
(318) 445-8380
Fax
(318) 445-9753
NPI assigned
Jan 8, 2009
Last updated
Jan 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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 5638 LA Primary

Addresses

Primary practice location

145 Yorktown Dr
Griffin Family Medicine Clinic
Alexandria, LA 71303

Mailing address

145 Yorktown Dr
Griffin Family Medicine Clinic
Alexandria, LA 71303
Phone (318) 445-8380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20091228000537 LA Practitioner - Nurse Practitioner 2961542857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alexandria Healthcare Consultants, LLCGroup PAC ID 5597081711, 10 clinicians

Practice addresses (Care Compare)

44 Versailles Blvd
Alexandria, LA 71303-3960
Phone (318) 445-5111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5638LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Louisiana PC Nurse Practitioner CurrentSince Aug 1, 2014 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Alexandria Healthcare Consultants, LLC CurrentSince Jul 1, 2024 Accepting new patients
Peace of Mind Psychiatric Solutions Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

44 Versailles Blvd
Alexandria, LA 71303
Phone (318) 441-0068

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1144467408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 YORKTOWN DR",
            "address_2": "GRIFFIN FAMILY MEDICINE CLINIC",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71303",
            "telephone_number": "318-445-8380",
            "fax_number": "318-445-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 YORKTOWN DR",
            "address_2": "GRIFFIN FAMILY MEDICINE CLINIC",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71303",
            "telephone_number": "318-445-8380",
            "fax_number": "318-445-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "TRACY",
        "middle_name": "DUNN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "5638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.