Individual provider Active NPI

Andrew Hale Lyons, FNP-BC

  • Family Nurse Practitioner
  • Green Valley, AZ
National Provider Identifier
1982001905
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7433 Issued in AZ
Practice address
4475 S. I-19 Frontage Rd, Suite 255
Green Valley, AZ 85614-1254
Phone
(520) 393-4863
Fax
(833) 485-4196
NPI assigned
Nov 20, 2014
Last updated
Jan 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN166025 AZ
Family Nurse Practitioner 363LF0000X AP7433 AZ Primary

Addresses

Primary practice location

4475 S. I-19 Frontage Rd, Suite 255
Green Valley, AZ 85614-1254

Mailing address

4455 S I-19 Frontage Rd
Green Valley, AZ 85614-1254
Phone (520) 393-4486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN166025AZMDRegistered Nurse
AP7433AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redemption Psychiatry, LLC PastSince Jan 26, 2022 Accepting new patients
Arizona Advanced Surgical Associates LLC PastSince Jan 19, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1982001905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S I-19 FRONTAGE RD",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141254",
            "telephone_number": "520-393-4486",
            "fax_number": "833-485-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 S. I-19 FRONTAGE RD, SUITE 255",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856141254",
            "telephone_number": "520-393-4863",
            "fax_number": "833-485-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "ANDREW",
        "middle_name": "HALE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-20",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN166025",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.