Colleen Caralyn Lyons, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5698 Issued in NV

Practice address

1330 Waterloo LN # 101
Gardnerville, NV 89410-5587

Phone

(775) 782-8265

Fax

(775) 783-4487

NPI assigned

Aug 29, 2006

Last updated

Feb 20, 2016By 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 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspen Family Medical

  • Family Medicine Physician
  • Carson City, NV
  • NPI 1023127859
  NPD (past) Authorized official
• Carson City Finance Dept.

  dba Carson City Health & Human Services

  • Public Health or Welfare Agency
  • Carson City, NV
  • NPI 1922024314
  NPD (past)
• CTH Physicians Clinic

  • Internal Medicine Physician
  • Carson City, NV
  • NPI 1306533732
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455926400000",
    "number": "1952419772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 WATERLOO LN # 101",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105587",
            "telephone_number": "775-782-8265",
            "fax_number": "775-783-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 WATERLOO LN # 101",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105587",
            "telephone_number": "775-782-8265",
            "fax_number": "775-783-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "COLLEEN",
        "middle_name": "CARALYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2016-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "5698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003113132",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV LICENSE #",
            "identifier": "5694",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002013132",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE #",
            "identifier": "G63394",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Loy, OTR/L
• Danielle Lynn Lukins, MA, MFT
• Jennifer Leslie Luri, OTR/L
• Sanne Ly
• Tommie Lyon
• Mary Mackenzie, RN
• Robert Mai, R. PH.
• Lorraine Gail Maki-Sherwood, OTR-L
• Diana Malekos, LCSW
• Marc Christopher Young Chartered (Carson Valley Foot Care)

• Family Medicine Physician in Gardnerville, NV
• Providers in Gardnerville, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.