Individual provider Active NPI

Jennifer Lynn Lyons, M.S.

  • Audiologist
  • Detroit, MI
National Provider Identifier
1760410294
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000073 Issued in MI
Practice address
3901 Beaubien Blvd
Carls 3Rd Floor Department of Audiology
Detroit, MI 48201-3704
Phone
(313) 745-8903
Fax
(313) 966-2694
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Audiologist 231H00000X 1601000073 MI Primary

Addresses

Primary practice location

3901 Beaubien Blvd
Carls 3Rd Floor Department of Audiology
Detroit, MI 48201-3704

Mailing address

3901 Beaubien Blvd
Carls 3Rd Floor Department of Audiology
Detroit, MI 48201-3704
Phone (313) 745-8903

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
Master of Science

State licenses

LicenseStateTypeSpecialty
1601000073MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital Audiologist Past Accepting new patients

Organizations & group practices 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1760410294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN BLVD",
            "address_2": "CARLS 3RD FLOOR DEPARTMENT OF AUDIOLOGY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482013704",
            "telephone_number": "313-745-8903",
            "fax_number": "313-966-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 BEAUBIEN BLVD",
            "address_2": "CARLS 3RD FLOOR DEPARTMENT OF AUDIOLOGY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482013704",
            "telephone_number": "313-745-8903",
            "fax_number": "313-966-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.