Active NPI
Michael H Lyon, CRNA
- Certified Registered Nurse Anesthetist
- Craig, CO
National Provider Identifier
1720184351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 66432
- Practice address
- 750 Hospital Loop
Craig, CO 81625-8750 - Phone
- (970) 824-9411
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 66432 | CO | Primary |
Addresses
Primary practice location
750 Hospital Loop
Craig, CO 81625-8750
Mailing address
P.O. Box 1280
Craig, CO 81625-3228
Phone (970) 824-8335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07664329 | Medicaid | CO |
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66432 | CO | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1720184351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1280",
"city": "CRAIG",
"state": "CO",
"postal_code": "816253228",
"telephone_number": "970-824-8335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 HOSPITAL LOOP",
"city": "CRAIG",
"state": "CO",
"postal_code": "816258750",
"telephone_number": "970-824-9411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYON",
"first_name": "MICHAEL",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "66432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07664329",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Craig, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.