Active NPI
Maria Christina M Lyons, PA-C
- Physician Assistant
- Omaha, NE
National Provider Identifier
1851627285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 10707 Pacific St Ste 101
Omaha, NE 68114 - Phone
- (402) 397-7989
- NPI assigned
- Oct 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2241 | NE | |
| Medical Physician Assistant | 363AM0700X | 092848 | IA | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
10707 Pacific St Ste 101
Omaha, NE 68114
Mailing address
15515 Jackson Cir
Omaha, NE 68154-2734
Phone (480) 646-6826
Other practice location 1
875 N Greenfield Road #105
Gilbert, AZ 85234
Phone (480) 897-2727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47077934913 | Medicaid | NE |
Other names 1
- Christina Malazarte Lyons
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Urohart |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NE, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2241 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Center PC | Current | Accepting new patients |
Locations
3434 W Broadway
Ste 102
Council Bluffs, IA 51501
Phone (712) 325-0014
10707 Pacific St
Ste 101
Omaha, NE 68114
Organizations & group practices 3
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.
-
- Urology Physician
- Gilbert, AZ
- NPI 1134319981
-
- Durable Medical Equipment & Medical Supplies
- Fremont, NE
- NPI 1851126643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1851627285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15515 JACKSON CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542734",
"telephone_number": "480-646-6826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10707 PACIFIC ST STE 101",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-397-7989"
}
],
"practiceLocations": [
{
"address_1": "875 N Greenfield Road #105",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "85234",
"country_code": "US",
"telephone_number": "480-897-2727",
"fax_number": "480-982-3035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYONS",
"first_name": "MARIA CHRISTINA",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-20",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NE",
"license": "2241",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "092848",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47077934913",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Urohart",
"affiliation": "N",
"endpointDescription": "computer",
"address_1": "10707 Pacific St Ste 101",
"city": "Omaha",
"state": "NE",
"country_code": "US",
"postal_code": "68114",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "LYONS",
"middle_name": "MALAZARTE",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.