Individual provider Active NPI

Lys A Loney, RN

  • Registered Nurse
  • Fort Atkinson, WI
National Provider Identifier
1891084505
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
136006-30 Issued in WI
Practice address
N3525 Trieloff Rd
Lot #27
Fort Atkinson, WI 53538-8813
Phone
(608) 723-9302
NPI assigned
Apr 4, 2011
Last updated
Jan 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 136006-30 WI Primary

Addresses

Primary practice location

N3525 Trieloff Rd
Lot #27
Fort Atkinson, WI 53538-8813

Mailing address

N3525 Trieloff Rd
Lot #27
Fort Atkinson, WI 53538-8813
Phone (608) 723-9302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
136006-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1891084505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N3525 TRIELOFF RD",
            "address_2": "LOT #27",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535388813",
            "telephone_number": "608-723-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3525 TRIELOFF RD",
            "address_2": "LOT #27",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535388813",
            "telephone_number": "608-723-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONEY",
        "first_name": "LYS",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "136006-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.