Susan Renee Lykins, SAC,PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA101 Issued in KY

Practice address

265 Fontaine Cir # B
Lexington, KY 40502-1948

Phone

(859) 619-1515

Fax

(859) 268-0308

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1689732679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 FONTAINE CIR # B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021948",
            "telephone_number": "859-619-1515",
            "fax_number": "859-268-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 FONTAINE CIR # B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021948",
            "telephone_number": "859-619-1515",
            "fax_number": "859-268-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKINS",
        "first_name": "SUSAN",
        "middle_name": "RENEE",
        "credential": "SAC,PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "PA101",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KY",
            "license": "PA101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LW Care LLC
• Jason William Lyddane, RPH
• Dana Lykins, P.T.
• Sarah Lykins, OTR/L
• Savannah Brooke Lykins, APRN
• Wesley Mark Lykins, PA-C
• Amy Denise Lyle, PSS, ASAM
• Leshonda L Lyle, CMA,CPT
• Faith Renee Lyman
• Thomas Lyman

• Surgical Physician Assistant in Lexington, KY
• Providers in Lexington, KY by specialty
• Surgical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.