1982636502 NPI number — KATHLEEN LYONS P.A., R.N.

NPI Number: 1982636502
Health Care Provider/Practitioner: KATHLEEN LYONS P.A., R.N.

NPI Number : 1982636502 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982636502",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LYONS",
    "FirstName": "KATHLEEN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "P.A., R.N.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "41 WOODLAND DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SHREWSBURY",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17361-1209",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-235-8117",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "201 E UNIVERSITY PKWY",
    "SecondLinePracticeLocationAddress": "EKG DEPARTMENT (BASEMENT)",
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21218-2829",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-554-6642",
    "PracticeLocationAddressFaxNumber": "410-554-2333",
    "EnumerationDate": "07/06/2006",
    "LastUpdateDate": "04/05/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363AM0700X",
          "TaxonomyName": "Medical Physician Assistant",
          "LicenseNumber": "C0001337",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "R092205",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}