Glynnis J Lyons, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4419 Issued in FL

Practice address

13501 Icot Blvd Ste 114
Clearwater, FL 33760-3729

Phone

(727) 754-7880

NPI assigned

Jan 6, 2006

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
• FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD

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.

• Sunset Point Medical Associates Inc

  dba Bay Pines Medical Associates

  • Internal Medicine Physician
  • Palm Harbor, FL
  • NPI 1366641698

  Family Medicine

  Medicare reassignment NPD
• Hernando Pasco Primary Care LLC

  dba MyCare Medical

  • Internal Medicine Physician
  • Lutz, FL
  • NPI 1245273093

  Family Medicine

  NPD

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1669450854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 ICOT BLVD STE 114",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603729",
            "telephone_number": "727-754-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 SE Palm Ct",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349944914",
            "country_code": "US",
            "telephone_number": "772-283-2086",
            "fax_number": "772-283-2087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "GLYNNIS",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL AGENCY FOR HEALTH CARE ADMINISTRATION",
            "identifier": "OS4419",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Lynn Lydic, ADULT CASE MANAGER
• Lymph at Home, LLC
• Nicole R. Lynch, AU.D.
• Tamela R Lynde
• Denise Lynn, LMHC
• Larry Wayne Lytle, OTR/L
• M Christina Memoli OD PA
• M.K. El-Yousef, M.D. LLC
• Norma C Mabandos, P.T.
• Ashley Elizabeth Mabry

• Family Medicine Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.