Individual provider Active NPI

Vanya Elizabeth Lyday, PA-C

  • Physician Assistant
  • Sunnyvale, TX
National Provider Identifier
1871830299
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08025 Issued in TX
Practice address
272 S Collins Rd Ste 200
Sunnyvale, TX 75182-4643
Phone
(972) 663-5780
Fax
(972) 663-5785
NPI assigned
Jan 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08025 TX Primary

Addresses

Primary practice location

272 S Collins Rd Ste 200
Sunnyvale, TX 75182-4643

Mailing address

272 S Collins Rd Ste 200
Sunnyvale, TX 75182-4643
Phone (972) 663-5780

Other identifiers 1

IdentifierTypeStateIssuer
315156501MedicaidTX

Other names 1

  • Vanya Elizabeth Ross Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20130403000362 TX Practitioner - Physician Assistant 9335384858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1871830299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 S COLLINS RD STE 200",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824643",
            "telephone_number": "972-663-5780",
            "fax_number": "972-663-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 S COLLINS RD STE 200",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824643",
            "telephone_number": "972-663-5780",
            "fax_number": "972-663-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYDAY",
        "first_name": "VANYA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "315156501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANYA",
            "last_name": "ROSS",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sunnyvale, TX

Sources for this page

Verify at the official NPI Registry.