Individual provider Active NPI

Jasmyne Lyons, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1710303284
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
60925632 Issued in WA
Practice address
101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone
(615) 829-8035
NPI assigned
Mar 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18470 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 60925632 WA Primary

Addresses

Primary practice location

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292

Mailing address

522 W Riverside Ave Ste N
Spokane, WA 99201-0580
Phone (615) 829-8035

Other practice location 1

5016 Centennial Blvd Ste 200
Nashville, TN 37209-1577
Phone (615) 829-8035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140416001737 TN Practitioner - Nurse Practitioner 8527290949 Reassigns benefits to 1 organization
I20230901002708 WA Practitioner - Nurse Practitioner 8527290949 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
60925632WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Aug 18, 2023 Accepting new patients
Transformation Service PLLC Psychiatric/Mental Health CurrentSince Dec 1, 2024 Accepting new patients
Lifeskills, Inc. CurrentSince Jan 1, 2020 Accepting new patients

Locations

735 North Dr
Hopkinsville, KY 42240
Phone (270) 886-5163

739 North Dr
Hopkinsville, KY 42240
Phone (270) 886-5163

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

522 W Riverside Ave
Ste N
Spokane, WA 99201
Phone (509) 203-4653

Interoperability endpoints

  • Direct secure messaging: transformationservice.jasmynelyons@160452.advancedmd-direct.com

Organizations & group practices 3

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": "1394236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1710303284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W RIVERSIDE AVE STE N",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010580",
            "telephone_number": "615-829-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELLIOTT AVE W STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194292",
            "telephone_number": "615-829-8035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5016 Centennial Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372091577",
            "country_code": "US",
            "telephone_number": "615-829-8035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JASMYNE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-08",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "18470",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "60925632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.