Lysal Prof. MKTG. & Home Healthcare Mngmt. Group Inc

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

ARNP9300116 Issued in FL

Legal business name

LYSAL PROF. MKTG. & HOME HEALTHCARE MNGMT. GROUP INC

Practice address

7225 Sharbeth Dr S
Jacksonville, FL 32210-4753

Phone

(855) 334-3339

Fax

(904) 573-2610

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Chanda Lynn Moore, BS

Title

Ceo

Phone

(904) 759-5089

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1902295512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 SHARBETH DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104753",
            "telephone_number": "855-334-3339",
            "fax_number": "904-573-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 SHARBETH DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104753",
            "telephone_number": "855-334-3339",
            "fax_number": "904-573-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYSAL PROF. MKTG. & HOME HEALTHCARE MNGMT. GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHANDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-759-5089",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8370",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": "FL",
            "license": "ARNP9300116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Tyler Lyons, MD
• Mead Lyons, DMD
• Naya Margaret Lyons, DPT
• Shenaye Lyons, ARNP
• Lysal Enterprises, Inc.
• Lysandro O. Tapnio DMD PA
• Lysandro O. Tapnio DMD PA
• Sydnie Lee Lytle, PA-C
• Megan Lytus, DO
• M & M Rehab Inc

• Community Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.