Individual provider Active NPI

Melisa Marina Lyle, RN

  • Administrator Registered Nurse
  • Eugene, OR
National Provider Identifier
1538707658
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
RN201708386RN Issued in OR
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN201708386RNORMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lane County Oregon PastSince Dec 22, 2019 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.

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.

Verify at the official NPI Registry.