Gaylene Lyda, RNFA

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

80012252 Issued in OR

Practice address

2801 NW Mercy Dr
Suite 330
Roseburg, OR 97471-2348

Phone

(541) 677-3600

Fax

(541) 677-3601

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1366468506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712608",
            "telephone_number": "541-673-8988",
            "fax_number": "541-672-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 NW MERCY DR",
            "address_2": "SUITE 330",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712348",
            "telephone_number": "541-677-3600",
            "fax_number": "541-677-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDA",
        "first_name": "GAYLENE",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OR",
            "license": "80012252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090461",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa Lundin, THERAPIST
• Theresa Marie Lundy, MD
• Elizabeth A Lupher, CADC-R
• Luxottica Retail North America Inc
• Yennhi Ly, PHARMD
• Robert Josh Lydon
• John William Lynch
• Cecelia Lynn
• Joshua Caleb Mabray, LPC
• Aaron Christopher Macarthur

• Medical-Surgical Registered Nurse in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Medical-Surgical Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.