Ann Ellis Lyp, APN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

A001073 Issued in AR

Practice address

3915 W 8TH St
Little Rock, AR 72204-2028

Phone

(501) 280-3342

Fax

(501) 280-3144

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1275551723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 POYDRAS DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112127",
            "telephone_number": "501-280-3342",
            "fax_number": "501-280-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 W 8TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042028",
            "telephone_number": "501-280-3342",
            "fax_number": "501-280-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYP",
        "first_name": "ANN",
        "middle_name": "ELLIS",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AR",
            "license": "R31695",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A001073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Heydel Lynn, RN
• Lyon College
• Joshua Daniel Lyon, MD
• Breanna Lyons, BA
• Virgle E. Lyons, M.D.
• Erin Degostin Lytle, LCSW
• M and a Investments, LLC
• M-Pacting Youth and Families Inc
• M. Bruce Sanderson MD PA
• M.J. Orellano, PT PA

• Pediatric Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pediatric Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.