Mollie Lewis Lyon

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN254774L Issued in PA

Practice address

1919 Parkview Blvd
Hermitage, PA 16148-1578

Phone

(724) 652-5144

Fax

(724) 856-8973

NPI assigned

Jun 24, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mollie Lewis Lyon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1316398019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 PARKVIEW BLVD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161481578",
            "telephone_number": "724-652-5144",
            "fax_number": "724-856-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 PARKVIEW BLVD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161481578",
            "telephone_number": "724-652-5144",
            "fax_number": "724-856-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "MOLLIE",
        "middle_name": "LEWIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "RN254774L",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN254774L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLIE",
            "last_name": "LYON",
            "middle_name": "LEWIS",
            "credential": "RN, LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Registered Nurse in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.