Miranda Lyons

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

024532-1 Issued in NY

Practice address

311 Main St
Dansville, NY 14437-9798

Phone

(585) 335-6770

NPI assigned

Oct 16, 2013

Last updated

Aug 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  Medicare reassignment

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1841628542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WEST AVE",
            "city": "LIVONIA",
            "state": "NY",
            "postal_code": "144879733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MAIN ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379798",
            "telephone_number": "585-335-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 West Ave",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "NY",
            "postal_code": "144879733",
            "country_code": "US",
            "telephone_number": "585-519-5874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "MIRANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024532-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Linsner, DPT
• Michael Loliger, DPT
• Kelly Lynne Lubaszewski, LMSW
• David Luce, MHC
• Deanna Lyons, M.D.
• Madison L Maniace, PA
• Jordan Re Manley, LMHC-LP
• Heather Leigh Marble
• Matthew Marino, P.T.
• Kevin George Mark, PT

• Speech-Language Pathologist in Dansville, NY
• Providers in Dansville, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.