Kai Bader Lyons, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

0129-000163 Issued in VA

Practice address

4492 Three Notch D Rd
Charlottesville, VA 22901-6378

Phone

(434) 981-3678

NPI assigned

Mar 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1437787124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GILDERSLEEVE WOOD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229033207",
            "telephone_number": "434-981-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4492 THREE NOTCH D RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229016378",
            "telephone_number": "434-981-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "KAI",
        "middle_name": "BADER",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife",
            "state": "VA",
            "license": "0129-000163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Charlottesville",
            "affiliation": "N",
            "address_1": "5 Gildersleeve Wood",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229033207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy K Lynch, M.D.
• Lauren Ashley Lynn, LCSW
• Betty Hash Lyon, D.D.S.
• John Steven Lyon, D.D.S.
• Elizabeth A. Lyons, M.D.
• M Clinic, LLC
• M. Timberlake Inc
• Linglei Ma, MD
• Wei Feng Ma, MD
• Katherine Macallister, NP STUDENT

• Midwife in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Midwife in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.