Individual provider Active NPI

Dee Ann Lyons, FNP

  • Family Nurse Practitioner
  • Lamar, CO
National Provider Identifier
1255664108
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP5982 Issued in CO
Practice address
1111 S 4TH St
Lamar, CO 81052-3804
Phone
(719) 336-3324
Fax
(719) 336-3898
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0005982-NP CO
Family Nurse Practitioner 363LF0000X NP5982 CO Primary

Addresses

Primary practice location

1111 S 4TH St
Lamar, CO 81052-3804

Mailing address

PO Box 328
Lamar, CO 81052-0328
Phone (719) 336-3244

Other practice location 1

711 Barnes Ave
LA Junta, CO 81050-2138
Phone (719) 384-5446

Other identifiers 1

IdentifierTypeStateIssuer
00727083MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100519000767 CO Practitioner - Nurse Practitioner 2567591159 Practice locations: Lamar, CO

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 S 4TH St
Lamar, CO 81052-3804
Phone (719) 336-3244

P O Box
Lamar, CO 81052-3804

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP5982COMDFamily Nurse Practitioner

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1255664108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810520328",
            "telephone_number": "719-336-3244",
            "fax_number": "719-336-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S 4TH ST",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523804",
            "telephone_number": "719-336-3324",
            "fax_number": "719-336-3898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Barnes Ave",
            "address_purpose": "LOCATION",
            "city": "LA Junta",
            "state": "CO",
            "postal_code": "810502138",
            "country_code": "US",
            "telephone_number": "719-384-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "DEE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0005982-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP5982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00727083",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, CO

Sources for this page

Verify at the official NPI Registry.