Individual provider Active NPI

Dawn Lyles

  • Community Health Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1609759646
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
2019030844 Issued in MO
Practice address
11454 Fair Acres Rd
Saint Louis, MO 63136-6218
Phone
(314) 835-7203
NPI assigned
Jul 28, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 2019030844 MO Primary

Addresses

Primary practice location

11454 Fair Acres Rd
Saint Louis, MO 63136-6218

Mailing address

11454 Fair Acres Rd
Saint Louis, MO 63136-6218
Phone (314) 835-7203

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

State licenses

LicenseStateTypeSpecialty
2019030844MOMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lynne Flowers Home Health Care CurrentSince Aug 3, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1609759646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11454 FAIR ACRES RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366218",
            "telephone_number": "314-835-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11454 FAIR ACRES RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366218",
            "telephone_number": "314-835-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLES",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MO",
            "license": "2019030844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.