LOREN DEIDRE LYONS (NPI# 1053641928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053641928 |
| Entity Type | Individual |
| Full Name | LOREN DEIDRE LYONS |
| Credential | WHNP-BC |
| Practice Address |
100 S Jersey Ave Unit 16 Setauket NY 11733-2036 |
| Mailing Address |
900 Merchants Concourse Ste 216 Westbury NY 11590-5114 |
| Practice Telephone | 6316896400 |
| Mailing Telephone | 5162268373 |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 420939 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
420939 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 285 Sills Rd Ste D, East Patchogue, NY 117724869 | 6314471032 |
| Street Address |
100 S JERSEY AVE UNIT 16 |
| City | SETAUKET |
| State | NY |
| Zip Code | 11733-2036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649538554 | Diana Leon | Obstetrics & Gynecology | 100 S Jersey Ave Unit 16, Setauket, NY 11733-2036 | 2012-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861701104 | Debra Morgan | Nurse Practitioner | 200 Main St, Suite 2, Setauket, NY 11733 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464918 | Elena Carianna | Nurse Practitioner | 469 Clinton Ave Apt 1, Brooklyn, NY 11238-1732 | 2020-10-16 |
| 1265039291 | Barbara Sztukowski | Nurse Practitioner | 438 Stockholm St, Ridgewood, NY 11385-1333 | 2020-10-02 |
| 1821602814 | Rut Ester Almonte Ceron | Nurse Practitioner | 15045 73rd Ave Apt 3h, Flushing, NY 11367-2610 | 2020-09-07 |
| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
| 1780296434 | Ashley Leonia Valeus | Nurse Practitioner | 3415 Parsons Blvd Apt 2l, Flushing, NY 11354-4619 | 2020-08-22 |
| 1013529692 | Angelina Yushuvayev | Nurse Practitioner | 14703 77th Rd, Flushing, NY 11367-3428 | 2020-08-17 |
| 1417567942 | Amanpreet Karir | Nurse Practitioner | 1305 York Ave Ste 6, New York, NY 10021-5663 | 2020-08-10 |
| 1700495249 | Jessica Bobadilla | Nurse Practitioner | 9960 63rd Rd Apt 11w, Rego Park, NY 11374-1925 | 2020-07-30 |
| 1144844812 | Charlene Santos-alvarez | Nurse Practitioner | 8450 169th St Apt 502, Jamaica, NY 11432-2018 | 2020-05-29 |
| 1346863610 | Maria Furman | Nurse Practitioner | 130 E 93rd St Apt 5d, New York, NY 10128-1624 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.