Carole C Lyman, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

83701 Issued in MA

Practice address

85 Prescott St
Suite 304
Worcester, MA 01605-2610

Phone

(508) 753-7259

Fax

(508) 753-9577

NPI assigned

Mar 1, 2006

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Reliant Medical Group, Inc

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1720017528
  NPD (past)
• Saint Vincent Physician Services, Inc.

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1013997329

  Nurse Practitioner

  NPD (past)
• Wayne B Glazier MD PC

  • Urology Physician
  • Worcester, MA
  • NPI 1982713251
  NPD (past)

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1952378853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST",
            "address_2": "SUITE 304",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052610",
            "telephone_number": "508-753-7259",
            "fax_number": "508-753-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 PRESCOTT ST",
            "address_2": "SUITE 304",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052610",
            "telephone_number": "508-753-7259",
            "fax_number": "508-753-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "CAROLE",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "83701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HMO BLUE",
            "identifier": "NP0975",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE ELECT",
            "identifier": "NP0975",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD INDEMNITY",
            "identifier": "NP0975",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Y. Ly, MD
• Drew Lydecker, MED
• Marlecia Lyder
• Lydia Angels at Home LLC
• Omeche Idoko Lyell
• Molly Lyman
• Alysia Lynch
• Andreanna Lynch, B.S., B.A.
• Ann M Lynch, PHARMD, R.PH.
• Elizabeth Johnson Lynch, LICSW

• Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.