Haley Marie Lyman, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95020995 Issued in CA

Practice address

3110 Inland Empire Blvd Ste C
Ontario, CA 91764-6572

Phone

(909) 581-7777

NPI assigned

Jul 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Haley Marie Poole Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1942935440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HASTINGS ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735011",
            "telephone_number": "909-557-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 INLAND EMPIRE BLVD STE C",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917646572",
            "telephone_number": "909-581-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 Inland Empire Blvd",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917646571",
            "country_code": "US",
            "telephone_number": "909-581-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "HALEY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "POOLE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luxottica of America Inc.
• Nyunt Lwin, M.D.
• Derick L Ly, D.O., M.S.
• Minmay Elisa Ly
• Cassi Lyle
• Kelly Lynch
• Rhea Faith Garcia Lynch
• Savanna Lynem
• Sierra Lynem
• Rickie Danielle Lynes

• Family Nurse Practitioner in Ontario, CA
• Providers in Ontario, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.