Kara Stacy Lytle

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP023168 Issued in PA

Practice address

200 Spring Ridge Dr Ste 102
Wyomissing, PA 19610-3334

Phone

(484) 709-2022

NPI assigned

Mar 7, 2021

Sex

Female

Sole proprietor

No

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 PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Berks Plastic Surgery Institute PC

  • Plastic Surgery Physician
  • Wyomissing, PA
  • NPI 1679695589
  Medicare reassignment NPD

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1841885209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 IRISH CREEK RD",
            "city": "BERNVILLE",
            "state": "PA",
            "postal_code": "195068313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SPRING RIDGE DR STE 102",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103334",
            "telephone_number": "484-709-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "KARA",
        "middle_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Ashley Janae Lynch
• Kathleen M Lynch
• Breanna Lyons, LPC
• Jena D Mable, LSW
• Rachel A Maga
• Edna Z Mahmood, M.D.
• Nora Maidansky, PSY.D.
• Kevin Maier II, M.S.

• Family Nurse Practitioner in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.