Kristine A Lyon, APNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

3383-033 Issued in WI

Practice address

904 W Main St
Waupun, WI 53963-1201

Phone

(920) 324-8700

NPI assigned

Jun 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1962662734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HIAWATHA DR",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161223",
            "telephone_number": "920-210-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W MAIN ST",
            "city": "WAUPUN",
            "state": "WI",
            "postal_code": "539631201",
            "telephone_number": "920-324-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "KRISTINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-14",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "3383-033",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "3383-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kourtney Kaye Lechner Ullrich, MS LPC
• Panou Lee
• Samantha Lynn Lenzendorf
• Ying-CHI Li
• Ashley Lindahl, DOULA
• Ryan Thomas Mackey, DPM
• Mariano L. Rosales Jr., M.D. S.C.
• Brenda Lee Marquard, LPN
• Richard F McMahon, DO
• Katy E Mentell, PT

• Primary Care Nurse Practitioner in Waupun, WI
• Providers in Waupun, WI by specialty
• Primary Care Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.