Individual provider Active NPI

Deborah Louise White-Lyons

  • Athletic Trainer
  • Scituate, MA
National Provider Identifier
1508277203
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
24 Issued in MA
Practice address
5 Hearthside CT
Scituate, MA 02066-3848
Phone
(781) 771-3406
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 24 MA Primary

Addresses

Primary practice location

5 Hearthside CT
Scituate, MA 02066-3848

Mailing address

5 Hearthside CT
Scituate, MA 02066-3848
Phone (781) 771-3406

Other names 1

  • Ms. Deborah Louise White-Lyons Professional 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24MAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1508277203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HEARTHSIDE CT",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020663848",
            "telephone_number": "781-771-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HEARTHSIDE CT",
            "city": "SCITUATE",
            "state": "MA",
            "postal_code": "020663848",
            "telephone_number": "781-771-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE-LYONS",
        "first_name": "DEBORAH",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "WHITE-LYONS",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "RN,ATC,RPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scituate, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.