Active NPI
Melisa Marina Lyle, RN
- Administrator Registered Nurse
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- RN201708386RN
- Practice address
- 151 W 7TH Ave Ste 100
Eugene, OR 97401-2676 - Phone
- (541) 682-3550
- Fax
- (541) 682-6703
- NPI assigned
- Dec 19, 2019
- Last updated
- Dec 19, 2019
- 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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN201708386RN | OR | Primary |
Addresses
Primary practice location
151 W 7TH Ave Ste 100
Eugene, OR 97401-2676
Mailing address
2073 Olympic St
Springfield, OR 97477-3413
Phone (541) 682-3550
Other practice location 1
2073 Olympic St
Springfield, OR 97477-3413
Phone (541) 682-3550
Other practice location 2
151 W 7th Ave Ste 210
Eugene, OR 97401-2676
Phone (541) 682-3550
Other practice location 3
1680 Chambers St Ste 103
Eugene, OR 97402-3655
Phone (541) 682-3550
Other practice location 4
1022 Green Acres Rd
Eugene, OR 97408-6501
Phone (541) 682-3550
Other practice location 5
2073 Olympic St
Springfield, OR 97477-3413
Phone (541) 682-3550
Other practice location 6
1460 G St
Springfield, OR 97477-4112
Phone (541) 510-3978
Other practice location 7
1050 10th St
Springfield, OR 97477-4003
Phone (541) 350-3550
Other practice location 8
151 W 7th Ave Ste 310
Eugene, OR 97401-2676
Phone (541) 682-3550
Other practice location 9
151 W 7th Ave Ste 163
Eugene, OR 97401-2676
Phone (541) 682-3550
Other practice location 10
2411 Mlk Jr Blvd
Eugene, OR 97401-5824
Phone (541) 682-3550
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN201708386RN | OR | MD | Administrator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane County Oregon | Past | Accepting new patients |
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.
-
dba Community health Centers of Lane County
- Federally Qualified Health Center (FQHC)
- Springfield, OR
- NPI 1326138314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576713600000",
"number": "1538707658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2073 OLYMPIC ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974773413",
"telephone_number": "541-682-3550",
"fax_number": "541-682-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 W 7TH AVE STE 100",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012676",
"telephone_number": "541-682-3550",
"fax_number": "541-682-6703"
}
],
"practiceLocations": [
{
"address_1": "2073 Olympic St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974773413",
"country_code": "US",
"telephone_number": "541-682-3550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "151 W 7th Ave Ste 210",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974012676",
"country_code": "US",
"telephone_number": "541-682-3550",
"fax_number": "541-682-6703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1680 Chambers St Ste 103",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974023655",
"country_code": "US",
"telephone_number": "541-682-3550",
"fax_number": "541-682-7612",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1022 Green Acres Rd",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974086501",
"country_code": "US",
"telephone_number": "541-682-3550",
"fax_number": "541-682-7201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2073 Olympic St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974773413",
"country_code": "US",
"telephone_number": "541-682-3550",
"fax_number": "541-682-3551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1460 G St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974774112",
"country_code": "US",
"telephone_number": "541-510-3978",
"fax_number": "541-726-4679",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1050 10th St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "OR",
"postal_code": "974774003",
"country_code": "US",
"telephone_number": "541-350-3550",
"fax_number": "541-682-9831",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "151 W 7th Ave Ste 310",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974012676",
"country_code": "US",
"telephone_number": "541-682-3550",
"fax_number": "541-682-6703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "151 W 7th Ave Ste 163",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974012676",
"country_code": "US",
"telephone_number": "541-682-3550",
"fax_number": "541-682-6703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2411 Mlk Jr Blvd",
"address_purpose": "LOCATION",
"city": "Eugene",
"state": "OR",
"postal_code": "974015824",
"country_code": "US",
"telephone_number": "541-682-3550",
"fax_number": "541-682-9861",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYLE",
"first_name": "MELISA",
"middle_name": "MARINA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-19",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "OR",
"license": "RN201708386RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.