Active NPI
Dawn Marie Lyon, RN,CNP,CDE
- Family Nurse Practitioner
- Centerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.09183
- Practice address
- 1989 Miamisburg Centerville Rd Ste 201
Centerville, OH 45459-3858 - Phone
- (937) 401-7575
- Fax
- (937) 522-8350
- NPI assigned
- Jan 28, 2013
- Last updated
- Oct 4, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | RN.179391-COA1 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | COA.09183-NP | OH | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.09183 | OH | Primary |
Addresses
Primary practice location
1989 Miamisburg Centerville Rd Ste 201
Centerville, OH 45459-3858
Mailing address
1 Prestige PL Ste 550
Miamisburg, OH 45342-6115
Phone (937) 762-1310
Other practice location 1
179 W Locust St
Wilmington, OH 45177-2180
Phone (937) 366-1060
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dlyon564188@direct.ketteringhealth.org | ||
| FHIR URL | https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.179391-COA1 | OH | MD | Diabetes Educator Registered Nurse |
| COA.09183-NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients |
Locations
1989 Miamisburg Centerville Rd
Ste 201
Dayton, OH 45459
Phone (937) 401-7575
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1275871105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PRESTIGE PL STE 550",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453426115",
"telephone_number": "937-762-1310",
"fax_number": "937-522-8068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1989 MIAMISBURG CENTERVILLE RD STE 201",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454593858",
"telephone_number": "937-401-7575",
"fax_number": "937-522-8350"
}
],
"practiceLocations": [
{
"address_1": "179 W Locust St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "OH",
"postal_code": "451772180",
"country_code": "US",
"telephone_number": "937-366-1060",
"fax_number": "937-655-8774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYON",
"first_name": "DAWN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN,CNP,CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-28",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "OH",
"license": "RN.179391-COA1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "COA.09183-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.09183",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dlyon564188@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "1989 Miamisburg Centerville Rd Ste 201",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454593858",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
"affiliation": "N",
"address_1": "1989 Miamisburg Centerville Rd Ste 201",
"city": "Centerville",
"state": "OH",
"country_code": "US",
"postal_code": "454593858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.