Organization Active NPI

Julie a. Lyons RN, FNP, P.C.

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1801114970
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
612479 Issued in TX
Legal business name
JULIE A. LYONS RN, FNP, P.C.
Practice address
330 W Pembroke Ave
Dallas, TX 75208-6532
Phone
(214) 948-3597
NPI assigned
May 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Mrs. Julie Ann Lyons, FNPNPI 1750326583
Title
President/Ceo
Phone
(214) 535-7586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 612479 TX Primary

Addresses

Primary practice location

330 W Pembroke Ave
Dallas, TX 75208-6532

Mailing address

5700 Tennyson Pkwy Ste 300
Plano, TX 75024-3595
Phone (214) 535-7586

Other practice location 1

8502 Edgemere Rd
Dallas, TX 75225-3523
Phone (214) 615-7045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100720000764 TX Part B Supplier - Clinic/Group Practice 6800928250 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX; Kaufman, TX

National Provider Directory

National Provider Directory

Locations

5700 Tennyson Pkwy
Ste 200
Plano, TX 75024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1801114970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 TENNYSON PKWY STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243595",
            "telephone_number": "214-535-7586",
            "fax_number": "214-387-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W PEMBROKE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752086532",
            "telephone_number": "214-948-3597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8502 Edgemere Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752253523",
            "country_code": "US",
            "telephone_number": "214-615-7045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JULIE A. LYONS RN, FNP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-13",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "214-535-7586",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "612479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.