Deborah Lee Lyon, AU.D, CCC/A, F-AAA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD00060 Issued in RI

Practice address

115 Georgia Ave
Providence, RI 02905-4422

Phone

(401) 444-5485

Fax

(401) 444-6212

NPI assigned

Nov 7, 2006

Last updated

Aug 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1902975451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY STREET",
            "address_2": "RI HOSPITAL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-5485",
            "fax_number": "401-444-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GEORGIA AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054422",
            "telephone_number": "401-444-5485",
            "fax_number": "401-444-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "AU.D, CCC/A, F-AAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "RI",
            "license": "AUD00060",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MA",
            "license": "249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5100020",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci L Lynch, CCC-MSSLP
• Lynn H Sommerville MD PHD
• Jamie Lee Lynn, LCSW
• Keara Meredith Lynn, MD
• David Lyon H. Lyon, PSY.D.
• Edward Lyons, APRN,BC
• Kristin E Lyons, MSW
• Rachel Lyons, NP
• Xiuhong Lyu, MD
• M. David Beitle, M.D., Inc

• Audiologist in Providence, RI
• Providers in Providence, RI by specialty
• Audiologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.