Individual provider Active NPI

Lyzette Birun

  • Home Health Aide
  • Lanham, MD
National Provider Identifier
1235527474
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA2986 Issued in DC
Practice address
9879 Good Luck Rd Apt 3
Lanham, MD 20706-3233
Phone
(322) 301-9268
NPI assigned
Dec 22, 2014
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA2986 DC Primary

Addresses

Primary practice location

9879 Good Luck Rd Apt 3
Lanham, MD 20706-3233

Mailing address

9879 Good Luck Rd Apt 3
Lanham, MD 20706-3233
Phone (322) 301-9268

Other identifiers 1

IdentifierTypeStateIssuer
HHA2986OtherMDHOME HEALTH AIDE

Other names 1

  • Lyzette N/a Birun Other name

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

State licenses

LicenseStateTypeSpecialty
HHA2986DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1235527474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9879 GOOD LUCK RD APT 3",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063233",
            "telephone_number": "322-301-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9879 GOOD LUCK RD APT 3",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063233",
            "telephone_number": "322-301-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRUN",
        "first_name": "LYZETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA2986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH  AIDE",
            "identifier": "HHA2986",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYZETTE",
            "last_name": "BIRUN",
            "middle_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.