KELLY LYONS (NPI# 1508313453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508313453 |
| Entity Type | Individual |
| Full Name | KELLY LYONS |
| Practice Address |
961 4 Mile Rd Nw Grand Rapids MI 49544-8252 |
| Practice Telephone | 6167846299 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000745 | MI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1601000745 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1568709830 | Kelly Lyons | Case Manager/Care Coordinator | 13 Oak Lane Ave, Fairless Hills, PA 19030-1405 | 2013-01-07 |
| 1306149984 | Kelly Marie Lyons | Nurse Anesthetist, Certified Registered | 701 6th Street South, St. Petersburg, FL 33701 | 2010-12-21 |
| 1689284937 | Kelly Lyons | Acupuncturist | 9217 W Center St, Milwaukee, WI 53222-4516 | 2020-08-02 |
| 1932687308 | Kelly Elizabeth Lyons | Family Medicine | Uk Hematology/ Bmt Clinic, 800 Rose St Roach Cancer Ctr 1st Fl, Lexington, KY 40536-0298 | 2018-07-30 |
| 1457847667 | Kelly Lyons | Dentist | 1151 Washington St, Newell, WV 26050-1437 | 2018-07-11 |
| 1174077283 | Kelly Lyons | Nurse Practitioner | 111 Michigan Ave Nw, 1st Floor West Wing Suite 300, Washington, DC 20010-2916 | 2016-08-05 |
| 1659754323 | Kelly Jean Lyons | Physician Assistant | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2015-06-30 |
| 1396143483 | Kelly Lyons | Nurse Practitioner | 433 Sewell Dr, Sparta, TN 38583-1223 | 2014-12-05 |
| 1184035289 | Kelly Lyons | Student in an Organized Health Care Education/Training Program | 300 Linwood Ave, Buffalo, NY 14209-1802 | 2014-05-12 |
| Street Address |
961 4 MILE RD NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-8252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609917186 | Family Ear Nose Throat & Allergy | Otolaryngology | 961 4 Mile Rd Nw, Suite A, Grand Rapids, MI 49544-1502 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143210 | Megan Justine Gustavson | Audiologist | 6140 28th St Se Ste 205, Grand Rapids, MI 49546-6938 | 2020-01-15 |
| 1730439225 | William Allen Hodgson | Audiologist | 803 Ne 1st Ave, Grand Rapids, MN 55744-2751 | 2012-09-12 |
| 1457596090 | Mary Disselkoen | Audiologist | 1353 Van Auken St Se, Grand Rapids, MI 49508-2516 | 2008-12-11 |
| 1750535373 | Jack De Boer | Audiologist | 2036 Chesaning Dr Se, Grand Rapids, MI 49506-5309 | 2008-11-10 |
| 1740452200 | Susan Jane Haveman-kruyf | Audiologist | 655 Kenmoor Ave Se Ste A, Grand Rapids, MI 49546-8622 | 2008-03-25 |
| 1023299088 | Sharon K. Hickox | Audiologist | 4055 Cascade Rd Se Ste 201, Grand Rapids, MI 49546-2149 | 2007-11-19 |
| 1932329729 | Theresa Marie Bosworth | Audiologist | 1425 Michigan Ne Suite A, Grand Rapids, MI 49503 | 2007-04-26 |
| 1164575833 | Edward Joseph Szumowski | Audiologist | 4232 29th St Se, Grand Rapids, MI 49512-1936 | 2007-01-18 |
| 1093878480 | Karen Ann Jacobs | Audiologist | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 | 2006-12-18 |
| 1588697411 | Denise Ann Hove | Audiologist | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 | 2006-07-07 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on KELLY LYONS.
| 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.