Joni Suzanne Lydic, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN041417 Issued in AZ

Practice address

2302 N 75TH Ave
Phoenix, AZ 85035-1216

Phone

(623) 849-7500

Fax

(623) 849-7588

NPI assigned

Jul 3, 2005

Last updated

Feb 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Desert Hills Family Medicine PC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1366647158
  NPD (past)

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

{
    "created_epoch": "1120348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1518964782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 N 75TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351216",
            "telephone_number": "623-849-7500",
            "fax_number": "623-849-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 N 75TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351216",
            "telephone_number": "623-849-7500",
            "fax_number": "623-849-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDIC",
        "first_name": "JONI",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-03",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN041417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "481416",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Ly, OD
• Minh Tu Ly, PHARMD
• Melinda Frances Lyall, MD
• Lydia J Cohan MD PC
• Renee Elise Lydiard
• Lynn Sokol Lydon, M.D.
• Lauren Lyell, RN
• Nolan Lyle, DPT
• Lyman Orthopedics PLC
• Hannah Lyman

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.