Individual provider Active NPI

Bettie Renee Lyons

  • Student in an Organized Health Care Education/Training Program
  • Redding, CA
National Provider Identifier
1245719111
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2615 Breslauer Way
Redding, CA 96001-4247
Phone
(530) 245-6411
NPI assigned
Aug 10, 2018
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Student in an Organized Health Care Education/Training Program 390200000X CA Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

2615 Breslauer Way
Redding, CA 96001-4247

Mailing address

2640 Breslauer Way
Redding, CA 96001-4246
Phone (530) 225-5252

Other practice location 1

206 4th St
Yreka, CA 96097-2951
Phone (530) 841-7190

Other practice location 2

2640 Breslauer Way
Redding, CA 96001-4246
Phone (530) 225-5252

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Shasta CurrentSince Dec 24, 2023 Accepting new patients
Victor Community Support Services, Inc Past Accepting new patients

Locations

2615 Breslauer Way
Redding, CA 96001
Phone (530) 215-9981

Organizations & group practices 2

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1245719111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 BRESLAUER WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014246",
            "telephone_number": "530-225-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 BRESLAUER WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014247",
            "telephone_number": "530-245-6411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 4th St",
            "address_purpose": "LOCATION",
            "city": "Yreka",
            "state": "CA",
            "postal_code": "960972951",
            "country_code": "US",
            "telephone_number": "530-841-7190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2640 Breslauer Way",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960014246",
            "country_code": "US",
            "telephone_number": "530-225-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "BETTIE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.