Individual provider Active NPI

Roxanne Kae Erickson-Lydon, R.N.

  • Psychiatric/Mental Health Nurse Practitioner
  • Concord, NH
National Provider Identifier
1285044420
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
084058-23 Issued in NH
Practice address
10 West St
Concord, NH 03301-3548
Phone
(603) 225-0123
NPI assigned
Apr 28, 2014
Last updated
Jul 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 084058-21 NH
Registered Nurse 163W00000X RN2291601 MA
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN2291601 MA
Assisted Living Facility 310400000X
Intellectual Disabilities Intermediate Care Facility 315P00000X
Day Training/Habilitation Specialist 373H00000X RN2291601 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 084058-23 NH Primary

Addresses

Primary practice location

10 West St
Concord, NH 03301-3548

Mailing address

10 West St
Concord, NH 03301-3548
Phone (603) 225-0123

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 Business Pkwy S
Suite 1
Westminster, MD 21157-3048

39 Straw Rd
Manchester, NH 03102-2576

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
084058-21NHMDRegistered Nurse
RN2291601MAMDAddiction (Substance Use Disorder) Registered Nurse
084058-23NHMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1285044420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WEST ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013548",
            "telephone_number": "603-225-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEST ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013548",
            "telephone_number": "603-225-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON-LYDON",
        "first_name": "ROXANNE",
        "middle_name": "KAE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "084058-21",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2291601",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "RN2291601",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "MA",
            "license": "RN2291601",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "084058-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.