Individual provider Active NPI

Stephanie Lynn Lyson, OTR

  • Occupational Therapist
  • Dickinson, ND
National Provider Identifier
1508085895
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
965 Issued in ND
Practice address
2893 3Rd Ave W
102
Dickinson, ND 58601-2617
Phone
(701) 483-1257
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 965 ND Primary

Addresses

Primary practice location

2893 3Rd Ave W
102
Dickinson, ND 58601-2617

Mailing address

PO Box 1575
Suite 102
Dickinson, ND 58602-1575
Phone (701) 483-1257

Other names 1

  • Stephanie Lynn Bekken Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
965NDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1508085895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1575",
            "address_2": "SUITE 102",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586021575",
            "telephone_number": "701-483-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 3RD AVE W",
            "address_2": "102",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012617",
            "telephone_number": "701-483-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSON",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BEKKEN",
            "middle_name": "LYNN",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.