Active NPI
Kathleen E Lydon, APN
- Family Nurse Practitioner
- Reno, NV
National Provider Identifier
1710087341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN000916
- Practice address
- 595 Bell St
Reno, NV 89503-4430 - Phone
- (775) 770-3304
- Fax
- (775) 770-3880
- NPI assigned
- Sep 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN000916 | NV | Primary |
Addresses
Primary practice location
595 Bell St
Reno, NV 89503-4430
Mailing address
411 W 6TH St
Reno, NV 89503-4415
Phone (775) 770-6115
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)
- Enrolled
Interoperability endpoints
- kathleen.lydon.p1@direct.smmg.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1710087341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W 6TH ST",
"city": "RENO",
"state": "NV",
"postal_code": "895034415",
"telephone_number": "775-770-6115",
"fax_number": "775-770-7880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 BELL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895034430",
"telephone_number": "775-770-3304",
"fax_number": "775-770-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYDON",
"first_name": "KATHLEEN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-24",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN000916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.