Individual provider Active NPI

Nakera Michelle Lyons, RBT

  • Behavior Technician
  • Stafford, VA
National Provider Identifier
1891332615
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-119642 Issued in MD
Practice address
11 Hope Rd Ste 215
Stafford, VA 22554-7287
Phone
(540) 225-1020
NPI assigned
Dec 1, 2019
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X
Behavior Technician 106S00000X
Behavior Technician 106S00000X RBT-20-119642 MD Primary

Addresses

Primary practice location

11 Hope Rd Ste 215
Stafford, VA 22554-7287

Mailing address

11200 Cherry Hill Rd Apt 201
Beltsville, MD 20705-3806

Other practice location 1

11200 Cherry Hill Rd Apt 201
Beltsville, MD 20705-3806
Phone (301) 785-7692

Other identifiers 1

IdentifierTypeStateIssuer
NEA101133OtherMDPHCS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RNickel@childrensnational.org

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

State licenses

LicenseStateTypeSpecialty
RBT-20-119642MDMDBehavior Technician

Interoperability endpoints

  • Direct secure messaging: rnickel@childrensnational.org

NPI Registry JSON

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1891332615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 CHERRY HILL RD APT 201",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207053806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HOPE RD STE 215",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547287",
            "telephone_number": "540-225-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11200 Cherry Hill Rd Apt 201",
            "address_purpose": "LOCATION",
            "city": "Beltsville",
            "state": "MD",
            "postal_code": "207053806",
            "country_code": "US",
            "telephone_number": "301-785-7692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "NAKERA",
        "middle_name": "MICHELLE",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-20-119642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "NEA101133",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RNickel@childrensnational.org",
            "affiliation": "N",
            "endpointDescription": "childrens hospital",
            "address_1": "111 Michigan Ave NW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200102916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.