Individual provider Active NPI

Jane Eleanor Lykins, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1932154556
Registry record updated Sep 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26057 Issued in AZ
Practice address
501 N Park Ave # 110
Tucson, AZ 85719-5034
Phone
(520) 284-9200
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-083868 OH
Family Medicine Physician 207Q00000X 26057 AZ Primary

Addresses

Primary practice location

501 N Park Ave # 110
Tucson, AZ 85719-5034

Mailing address

839W Congress St
Tucson, AZ 85745-2819
Phone (520) 792-9890

Other names 1

  • Dr. Jane Eleanor Skelton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622001309 AZ Practitioner - Family Practice 9234174988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-083868OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Sep 10, 2015 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Sep 10, 2015 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center Past Accepting new patients
Nextcare Arizona I JV LLC Past Accepting new patients

Locations

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

1500 W Commerce Ct
Bldg 12
Tucson, AZ 85746

320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441843200000",
    "number": "1932154556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-792-9890",
            "fax_number": "520-884-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N PARK AVE # 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857195034",
            "telephone_number": "520-284-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYKINS",
        "first_name": "JANE",
        "middle_name": "ELEANOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2015-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-083868",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "26057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "SKELTON",
            "middle_name": "ELEANOR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.