Individual provider Active NPI

Shenaye Lyons, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1801165105
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9270095 Issued in FL
Practice address
500 McDuff Ave S
Jacksonville, FL 32254-4250
Phone
(045) 064-0449
Fax
(904) 490-8544
NPI assigned
Dec 15, 2011
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC002580 MD
Family Nurse Practitioner 363LF0000X 95006148 CA
Family Nurse Practitioner 363LF0000X NP1050173 DC
Family Nurse Practitioner 363LF0000X ARNP9270095 FL Primary

Addresses

Primary practice location

500 McDuff Ave S
Jacksonville, FL 32254-4250

Mailing address

12171 SW 268TH St
Homestead, FL 33032-8001
Phone (052) 780-2003

Other identifiers 2

IdentifierTypeStateIssuer
003121021AMedicaidGA
0045151-00MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20121002000035 FL Practitioner - Nurse Practitioner 8527217801 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1050173DCMDFamily Nurse Practitioner
AC002580MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 6, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 6, 2024 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Aug 18, 2012 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Aug 18, 2012 Accepting new patients
American Care of North Florida, Inc CurrentSince Jun 30, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12171 SW 268th St
Homestead, FL 33032
Phone 30527802001020

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

500 McDuff Ave S
Jacksonville, FL 32254
Phone (904) 506-4044

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Interoperability endpoints

  • Direct secure messaging: shenaye.lyons.1@12891.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1801165105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12171 SW 268TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328001",
            "telephone_number": "052-780-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MCDUFF AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322544250",
            "telephone_number": "045-064-0449",
            "fax_number": "904-490-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "SHENAYE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-15",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC002580",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP1050173",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9270095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003121021A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0045151-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.