Active NPI
Andrew Hale Lyons, FNP-BC
- Family Nurse Practitioner
- Green Valley, AZ
National Provider Identifier
1982001905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP7433
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN166025 | AZ | MD | Registered Nurse |
| AP7433 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redemption Psychiatry, LLC | Past | Accepting new patients | |
| Arizona Advanced Surgical Associates LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Surgery Physician
- Green Valley, AZ
- NPI 1730746843
-
- Child & Adolescent Psychiatry Physician
- Gilbert, AZ
- NPI 1053757278
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
- Terry W. Lowry, MD
- Luis F Lozano, PA
- Lutissua D Ballard, PSYD PLLC (Shefa Life Counseling Center)
- Caleb Lynch, PT, DPT, CERT DN
- Lynn Callaway, LLC (Affordable Hearing Solutions)
- Suzanne E. Mace, PHARM. D.
- Cynthia Maciak, RPH
- Madera Chiropractic PLLC
- Cathy Ann Maghran
- Estabraq Shakir Mahmood, PHARMACIST
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.