Individual provider Active NPI

Desiree C Lyon, MD

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1427685536
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
38638 Issued in OK
Practice address
5310 E 31St St Ste LL
Tulsa, OK 74135-5013
Phone
(918) 236-4000
Fax
(918) 236-4001
NPI assigned
Mar 26, 2020
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 38638 OK Primary

Addresses

Primary practice location

5310 E 31St St Ste LL
Tulsa, OK 74135-5013

Mailing address

5310 E 31St St Ste 13
Tulsa, OK 74135-5013
Phone (918) 561-5701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529003024 OK Practitioner - Psychiatry 3678915147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Oklahoma College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Practice addresses (Care Compare)

2323 S Harvard Ave
TCBH
Tulsa, OK 74114-3301
Phone (918) 293-2140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38638OKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Oklahoma CurrentSince Jul 1, 2024 Accepting new patients
Oklahoma State University Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
Oklahoma State University CurrentSince Jul 1, 2024 Accepting new patients
State of Oklahoma CurrentSince Jul 1, 2024 Accepting new patients
State of Oklahoma Current Accepting new patients
Oklahoma State University Current Accepting new patients

Locations

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140

5310 E 31st St
Tulsa, OK 74135
Phone (918) 584-4549

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

5310 E 31st St
Ste Ll
Tulsa, OK 74135
Phone (918) 236-4000

Dept 2563
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: dlyon219573@direct.saintfrancis.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1427685536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST STE 13",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355013",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST STE LL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355013",
            "telephone_number": "918-236-4000",
            "fax_number": "918-236-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "DESIREE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "38638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.