Lyndon Clarence Capon, ARNP, ND, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30006112 Issued in WA

Practice address

415 N Olympic Ave
Arlington, WA 98223-1244

Phone

(425) 280-2802

Fax

(434) 322-4336

NPI assigned

Sep 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Life Changes Health Care Clinic

  • Nurse Practitioner
  • Everett, WA
  • NPI 1477614311

  Naturopath

  NPD (past) Authorized official

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1821083056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11722 TULARE WAY W.",
            "address_2": "MARYSVILLE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "98271",
            "telephone_number": "425-280-2848",
            "fax_number": "434-322-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N OLYMPIC AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231244",
            "telephone_number": "425-280-2802",
            "fax_number": "434-322-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPON",
        "first_name": "LYNDON",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "ARNP, ND, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00112784",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT00000478",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0347193",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DEPT OF L & I",
            "identifier": "0192446",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nic Caldwell
• Calming Waves Counseling
• Alden Bradley Campbell, MD
• Alyssa Campbell, LSWAIC
• Emmorie A Cannon
• Michael W Carbon, ATC
• Caring Harts Inc.
• Jennifer Carli, LMHC
• Kailey Ann Carlton, LMT
• Kitty Carmichael, ARNP, CDE

• Family Nurse Practitioner in Arlington, WA
• Providers in Arlington, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.