Active NPI
Nakera Michelle Lyons, RBT
- Behavior Technician
- Stafford, VA
National Provider Identifier
1891332615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-119642
- Practice address
- 11 Hope Rd Ste 215
Stafford, VA 22554-7287 - Phone
- (540) 225-1020
- NPI assigned
- Dec 1, 2019
- Last updated
- Feb 7, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NEA101133 | Other | MD | PHCS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-119642 | MD | MD | Behavior Technician |
Interoperability endpoints
- 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.