Individual provider Active NPI

Edward Charles Lyrene III, FNP

  • Family Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1609466440
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
252764 Issued in NC
Practice address
735 6TH Ave W
Hendersonville, NC 28739-4168
Phone
(828) 698-9193
NPI assigned
Jan 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 252764 NC Primary

Addresses

Primary practice location

735 6TH Ave W
Hendersonville, NC 28739-4168

Mailing address

735 6TH Ave W
Hendersonville, NC 28739-4168
Phone (828) 698-9193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
252764NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vein Center at Allure Medical Spa, PLLC CurrentSince Mar 24, 2021 Accepting new patients
Carolina Mountain Internal Medicine CurrentSince Mar 24, 2021 Accepting new patients

Locations

735 6th Ave W
Hendersonvlle, NC 28739
Phone (828) 692-9948

902 Fleming St
Ste C
Hendersonvlle, NC 28791
Phone (828) 243-6910

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1609466440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 6TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394168",
            "telephone_number": "828-698-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 6TH AVE W",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394168",
            "telephone_number": "828-698-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYRENE",
        "first_name": "EDWARD",
        "middle_name": "CHARLES",
        "name_suffix": "III",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "252764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.