Kendra L Lyons, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1530 Issued in NH

Practice address

176 S River Rd
Bedford, NH 03110-7061

Phone

(603) 942-2003

Fax

(603) 403-7809

NPI assigned

Aug 28, 2019

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

• Kendra Padfield Former name

Medicare fee-for-service enrollment

Enrolled in NH

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.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optima Dermatology LLC

  • Dermatology Physician
  • Boardman, OH
  • NPI 1831187764

  NH

  Medicare reassignment Care Compare group
• E William Frank MD Dermatology Associates of S NH

  • Dermatology Physician
  • Nashua, NH
  • NPI 1215023577
  NPD
• Advanced Dermatology and Skin Cancer Center

  • Clinical Medical Laboratory
  • Boardman, OH
  • NPI 1497912893
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1336797752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031107061",
            "telephone_number": "603-942-2003",
            "fax_number": "603-403-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Allds St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030604789",
            "country_code": "US",
            "telephone_number": "603-889-4149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "873 Worcester St",
            "address_purpose": "LOCATION",
            "city": "Wellesley",
            "state": "MA",
            "postal_code": "024823714",
            "country_code": "US",
            "telephone_number": "978-393-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Hooksett Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031042641",
            "country_code": "US",
            "telephone_number": "603-441-1076",
            "fax_number": "603-369-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "KENDRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "PADFIELD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sashka Luque, M.D., M.P.H.
• Neal Luther, M.D.
• Gauri Luthra, MD
• Todd Jamieson Lyon, M.D.
• Carrie Lyons, RD
• Emily Margaret Macduffie, CCC-SLP
• Sandra Macduffie, LICSW
• Mackay Vision Center, LLC
• David Pope Mackay, O.D.
• Erinn Madden, OTR/L

• Physician Assistant in Bedford, NH
• Providers in Bedford, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.

Verify at the official NPI Registry.