Nathanael Lyons, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

201241794RN Issued in OR

Practice address

1120 SW 3Rd Ave
Portland, OR 97204-2828

Phone

(503) 988-4084

NPI assigned

Aug 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Multnomah County

  • Prison Health Clinic/Center
  • Portland, OR
  • NPI 1073757316
  NPD (past)
• Multnomah County

  • Dental Clinic/Center
  • Portland, OR
  • NPI 1407418999
  NPD (past)

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1871220186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 NE FARGO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122141",
            "telephone_number": "971-271-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 SW 3RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042828",
            "telephone_number": "503-988-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "NATHANAEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "201241794RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nathanael.lyons@multco.us",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1120 SW 3rd Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972042828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lindsey Lyons
• Madeline Marie Lyons
• Manda Louise Carmen Lyons, BSW
• Maureen Danielle Lyons, MD
• Morgan Gray Lyons, LCSW
• Pamela Lyons, LMT
• Patrick Lyons
• Patrick Gerard Lyons Jr., MD
• Rebecca C Lyons, PT, DPT
• Robin Douglas Lyons, LMT

• Community Health Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.