Individual provider Active NPI

Lynette Aneita Lyons, BSN, RN

  • Registered Nurse
  • Saint Albans, NY
National Provider Identifier
1619200805
Registry record updated Sep 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
560444-1 Issued in NY
Practice address
11408 200TH St
Saint Albans, NY 11412-2809
Phone
(718) 464-6353
Fax
(718) 464-6353
NPI assigned
Sep 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 560444-1 NY Primary

Addresses

Primary practice location

11408 200TH St
Saint Albans, NY 11412-2809

Mailing address

11408 200TH St
Saint Albans, NY 11412-2809
Phone (718) 464-6353

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
560444-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252281600000",
    "number": "1619200805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11408 200TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122809",
            "telephone_number": "718-464-6353",
            "fax_number": "718-464-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 200TH ST",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122809",
            "telephone_number": "718-464-6353",
            "fax_number": "718-464-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "LYNETTE",
        "middle_name": "ANEITA",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-07",
        "last_updated": "2009-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "560444-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2009; 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.