Jody B Lyle, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0024168627 Issued in VA

Practice address

5424 Discovery Park Boulevard
BLDG. a, Suite 101
Williamsburg, VA 23188

Phone

(757) 707-3505

Fax

(757) 707-3506

NPI assigned

Jan 31, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northstar Anesthesia of Virginia, LLC

  • Anesthesiology Physician
  • Alexandria, VA
  • NPI 1194488791

  DC

  Medicare reassignment NPD
• Commonwealth Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1548275308
  Medicare reassignment

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

{
    "created_epoch": "1264896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265764310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 OMNI BLVD STE 303",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064477",
            "telephone_number": "757-232-8769",
            "fax_number": "757-232-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 DISCOVERY PARK BOULEVARD",
            "address_2": "BLDG. A, SUITE 101",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23188",
            "telephone_number": "757-707-3505",
            "fax_number": "757-707-3506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Midlothian Tpke",
            "address_2": "Suite 265",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232354724",
            "country_code": "US",
            "telephone_number": "804-594-2622",
            "fax_number": "804-594-0915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10800 Midlothian Tpke",
            "address_2": "Suite 265",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232354724",
            "country_code": "US",
            "telephone_number": "804-594-2622",
            "fax_number": "804-594-0915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYLE",
        "first_name": "JODY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc.
• Lwell LLC
• Lwell LLC
• Amber Nichole Lykins, FNP
• Ethan Worth Lyle, PT, DPT
• John Shaw Lynch, MPAS PA-C
• Lynn Lynes, LCSW
• Dana M Lyon, L.P.C.
• Cliff Machoka, PHARM D.
• Alison Christine Maddox, PMHNP-BC

• Certified Registered Nurse Anesthetist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.