Active NPI
Priscilla Ruth Powell Lyon, D.O.
- Dermatopathology Physician
- Waco, TX
National Provider Identifier
1265966188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- T5971
- Practice address
- 211 N Industrial Dr
Waco, TX 76710-7029 - Phone
- (254) 424-9127
- Fax
- (254) 424-9130
- NPI assigned
- Apr 18, 2017
- 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 |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | T5971 | TX | Primary |
Addresses
Primary practice location
211 N Industrial Dr
Waco, TX 76710-7029
Mailing address
7300 Ranch Road 2222, BLDG 1, Ste 200
Austin, TX 78730-3255
Phone (512) 628-0465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170712002324 | TX | Order and Referring Only - Internal Medicine | 9133498835 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10058724 | TX | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- priscilla.powell@hca7.eclinicaldirectplus.com
- priscilla.lyon.1@6815.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1265966188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 RANCH ROAD 2222, BLDG 1, STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787303255",
"telephone_number": "512-628-0465",
"fax_number": "512-628-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N INDUSTRIAL DR",
"city": "WACO",
"state": "TX",
"postal_code": "767107029",
"telephone_number": "254-424-9127",
"fax_number": "254-424-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYON",
"first_name": "PRISCILLA",
"middle_name": "RUTH POWELL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "TX",
"license": "T5971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
- Kira Lynch, DDS
- Melissa K Lynn, WHNP-BC
- Sandra D. Lynn, CRNA
- Lynn's la Vega Pharmacy, Inc
- Lynns la Vega Pharmacy Inc (Lynn's la Vega Pharmacy)
- Justin Lyons, PTA
- M-R Medical Inc (Praxair Healthcare Services)
- M&T Pharmacy Solutions, LLC (Pill Box Pharmacy)
- Mabell's Place (Alice Hickman)
- Lucinda Mabry, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.