Individual provider Active NPI

Alyssa Morgan Lyon

  • Chiropractor
  • Port Huron, MI
National Provider Identifier
1932043213
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401735 Issued in MI
Practice address
1025 Huron Ave
Port Huron, MI 48060-3763
Phone
(810) 294-5678
NPI assigned
Apr 16, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401735 MI Primary

Addresses

Primary practice location

1025 Huron Ave
Port Huron, MI 48060-3763

Mailing address

750 Victorian Woods CT
Marysville, MI 48040-1587
Phone (810) 294-5678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260520001266 MI Practitioner - Chiropractic 9638648587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

750 Victorian Woods CT
Marysville, MI 48040-1587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401735MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridge Chiropractic and Integrated Health LLC Chiropractor CurrentSince May 5, 2026 Accepting new patients

Locations

1025 Huron Ave
Port Huron, MI 48060
Phone (810) 294-5678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1932043213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 VICTORIAN WOODS CT",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401587",
            "telephone_number": "810-294-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 HURON AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603763",
            "telephone_number": "810-294-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "ALYSSA",
        "middle_name": "MORGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.