Active NPI
Marquita Pleshette Lyons, CPNP
- Pediatric Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1225107048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0050-01540
- Practice address
- 1708 Trawick Rd
Suite 111
Raleigh, NC 27604-3897 - Phone
- (919) 250-3478
- Fax
- (919) 250-6272
- NPI assigned
- Nov 7, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0050-01540 | NC | Primary |
Addresses
Primary practice location
1708 Trawick Rd
Suite 111
Raleigh, NC 27604-3897
Mailing address
118 Station Dr
Morrisville, NC 27560-9247
Phone (919) 402-7216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7005932 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050-01540 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maruthi Pediatrics PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Morrisville, NC
- NPI 1518148014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1225107048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 STATION DR",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275609247",
"telephone_number": "919-402-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 TRAWICK RD",
"address_2": "SUITE 111",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276043897",
"telephone_number": "919-250-3478",
"fax_number": "919-250-6272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "MARQUITA",
"middle_name": "PLESHETTE",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "0050-01540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7005932",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.