Active NPI
Susan Dix Lyons
- Student in an Organized Health Care Education/Training Program
- Berkeley, CA
National Provider Identifier
1790410363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Wright Institute Clinical Services
1918 University Avenue, Suite 2B
Berkeley, CA 94704 - Phone
- (510) 841-1262
- NPI assigned
- Jul 19, 2022
- Last updated
- Jul 19, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
Wright Institute Clinical Services
1918 University Avenue, Suite 2B
Berkeley, CA 94704
Mailing address
Wright Institute Clinical Services
1918 University Avenue, Suite 2B
Berkeley, CA 94704
Phone (510) 841-1262
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1790410363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WRIGHT INSTITUTE CLINICAL SERVICES",
"address_2": "1918 UNIVERSITY AVENUE, SUITE 2B",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94704",
"telephone_number": "510-841-1262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WRIGHT INSTITUTE CLINICAL SERVICES",
"address_2": "1918 UNIVERSITY AVENUE, SUITE 2B",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94704",
"telephone_number": "510-841-1262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIX LYONS",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.