Active NPI
Sondra Marie Lyness, P.A
- Medical Physician Assistant
- Cincinnati, OH
National Provider Identifier
1528162203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50-001894
- Practice address
- 4460 Red Bank Rd
Suite 100
Cincinnati, OH 45227-2172 - Phone
- (513) 271-5111
- Fax
- (513) 272-7084
- NPI assigned
- Sep 12, 2006
- Last updated
- Oct 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 50-001894 | OH | Primary |
Addresses
Primary practice location
4460 Red Bank Rd
Suite 100
Cincinnati, OH 45227-2172
Mailing address
2830 Victory Pkwy
Cincinnati, OH 45206-1785
Phone (513) 245-3600
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50-001894 | OH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Larkin, MD,LLC | Medical | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25807/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1528162203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 VICTORY PKWY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061785",
"telephone_number": "513-245-3600",
"fax_number": "513-245-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 RED BANK RD",
"address_2": "SUITE 100",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452272172",
"telephone_number": "513-271-5111",
"fax_number": "513-272-7084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNESS",
"first_name": "SONDRA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50-001894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.