MISS CHARLENE LYONS (NPI# 1750710729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750710729 |
Entity Type | Individual |
Full Name | MISS CHARLENE LYONS |
Credential | NNP |
Practice Address |
100 Nicolls Rd # Level5 Stony Brook NY 11794-8111 |
Mailing Address |
Po Box 1559 Stony Brook NY 11790 |
Practice Telephone | 6314447653 |
Practice Fax Number | 6314448968 |
Mailing Telephone | 6314447653 |
Mailing Fax Number | 6314448968 |
Enumeration Date | 2013-11-10 |
Last Update Date | 2014-01-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
350358 | NY | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316431281 | Charlene Alexandra Lyons | Speech-Language Pathologist | 1801 Chukkahina, Durant, OK 74701-7117 | 2018-06-14 |
Street Address |
100 NICOLLS RD # LEVEL5 |
City | STONY BROOK |
State | NY |
Zip Code | 11794-8111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
Find all providers in zip 11794 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376068916 | Jennifer D Haas | Nurse Practitioner | 101 Nicholls Road Hsc T 11 060, Stony Brook, NY 11794-0001 | 2017-08-04 |
1265694392 | Tram Mai Dang | Nurse Practitioner | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2008-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811505928 | Kemba Hazeley | Nurse Practitioner | 1825 Eastchester Rd Fl 5n, Bronx, NY 10461-2301 | 2020-07-15 |
1558929802 | Sanidine C Hofilena | Nurse Practitioner | 1256 E 59th St, Brooklyn, NY 11234-3304 | 2019-06-02 |
1346779162 | Priya Pathadan | Nurse Practitioner | 8900 Vanwyck Expressway, Jamaica Hospital Medical Center -nicu, Jamaica, NY 11418 | 2017-06-06 |
1265807846 | Colleen Carmody | Nurse Practitioner | 148 Saint Marks Pl, Massapequa, NY 11758-6422 | 2015-12-08 |
1265812150 | Brandi Aemisegger | Nurse Practitioner | 373 Biddle Loop, West Point, NY 10996-1307 | 2015-06-04 |
1851718035 | Pat Buenvenida | Nurse Practitioner | 234 East 118th Street, 1, New York, NY 10035 | 2014-03-25 |
1619313178 | Grace Propper | Nurse Practitioner | 2880 North Ocean Ave, Farmingville, NY 11738 | 2013-05-10 |
1528337698 | Anne Marie Jorgensen | Nurse Practitioner | 32 Rochelle Dr, New City, NY 10956-5853 | 2011-12-20 |
1083874986 | Cathy A Hanna-talbot | Nurse Practitioner | 41 Saint Marks Ln, Islip, NY 11751-4125 | 2008-06-13 |
1417115056 | Anne Lane Salice | Nurse Practitioner | 2120 Crown Land Ln, Cutchogue, NY 11935-1211 | 2008-05-30 |
Find all providers with the same taxonomy |
City | STONY BROOK |
Zip Code | 11794 |
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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.