Active NPI
Christopher Lyons
- Pediatrics Physician
- Nampa, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R-12504
- Practice address
- 4424 E Flamingo Ave Ste 200
Nampa, ID 83687-9300 - Phone
- (208) 302-7100
- NPI assigned
- May 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5471054 | ID | |
| Pediatrics Physician | 208000000X | R-12504 | IA | Primary |
Addresses
Primary practice location
4424 E Flamingo Ave Ste 200
Nampa, ID 83687-9300
Mailing address
PO Box 190930
Boise, ID 83719-0930
Phone (208) 302-9342
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-3462
Other practice location 2
712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 302-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-12504 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Pediatrics | Current | Accepting new patients |
Locations
712 Aviation Way
Caldwell, ID 83605
Phone (208) 302-7100
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
4424 E Flamingo Ave
Ste 200
Nampa, ID 83687
Phone (208) 302-1400
Interoperability endpoints
- clyons66484@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1497493779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190930",
"city": "BOISE",
"state": "ID",
"postal_code": "837190930",
"telephone_number": "208-302-9342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 E FLAMINGO AVE STE 200",
"city": "NAMPA",
"state": "ID",
"postal_code": "836879300",
"telephone_number": "208-302-7100"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-3462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "712 Aviation Way",
"address_purpose": "LOCATION",
"city": "Caldwell",
"state": "ID",
"postal_code": "836051154",
"country_code": "US",
"telephone_number": "208-302-7100",
"fax_number": "208-302-7189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYONS",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-25",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ID",
"license": "5471054",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "R-12504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.