DJ Lyles

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2119 S Jefferson St
Casper, WY 82601-5508

Phone

(307) 797-3302

NPI assigned

Mar 11, 2016

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2016.

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1992166458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 S JEFFERSON ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826015508",
            "telephone_number": "307-797-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 S JEFFERSON ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826015508",
            "telephone_number": "307-797-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYLES",
        "first_name": "DJ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Lee Lujan, LCSW
• Netsanet Lundahl, MD
• Lundberg Consultant Services PC
• Deette Lundberg, LAT
• Sophia Lybrand, RN
• Laurie Ann Lyon
• Rebecca Mabie, DO
• Anne M Macguire, M.D.
• Mary E Macguire, MD
• Opal Ann Mack, PHARMD

• All providers in Casper, WY
• Community Health Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.