LISA J. LYONS (NPI# 1265901227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265901227 |
| Entity Type | Individual |
| Full Name | LISA J. LYONS |
| Credential | PA-C |
| Practice Address |
15 Founders Ln Jacksonville IL 62650-3919 |
| Mailing Address |
1025 S 6th St Springfield IL 62703-2499 |
| Practice Telephone | 2175287541 |
| Mailing Telephone | 2175287541 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2020-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085006843 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089466 | Lisa Lyons | Psychologist | 7 W Cooper Ave, Moorestown, NJ 08057-2872 | 2020-03-27 |
| 1487121927 | Lisa Edens Lyons | Counselor | 508 Arbor Greene Dr, Garner, NC 27529-7104 | 2018-11-01 |
| 1366957052 | Lisa Jannicelli Lyons | Counselor | 266 Harristown Rd Ste 209, Glen Rock, NJ 07452-3321 | 2017-12-04 |
| 1578855599 | Lisa Marie Lyons | Pharmacist | 3606 Main Hwy, Bamberg, SC 29003-1867 | 2011-05-10 |
| 1841341989 | Lisa Lyons | Psychologist | 175 Cedar Lane, Suite # 8, Teaneck, NJ 07666 | 2007-01-16 |
| 1215983671 | Lisa R. Lyons | Social Worker | 25 Lindsley Ave, Nashville, TN 37210-2038 | 2006-05-26 |
| 1083682504 | Lisa M Lyons | Internal Medicine | 7455 W Azure Dr, Bldg C Ste. 140, Las Vegas, NV 89130-4430 | 2006-03-10 |
| 1316470990 | Lisa Diane Lyons | Registered Nurse | 2715 Lilac St, Longview, WA 98632-3526 | 2017-04-10 |
| 1689855249 | Lisa M Lyons | Speech-Language Pathologist | 2121 Ne 139th St, Mob A, Suite 200, Vancouver, WA 98686-2316 | 2007-11-23 |
| 1902923717 | Lisa D. Lyons | Counselor | 10400 Eaton Pl, Suite 110, Fairfax, VA 22030-2208 | 2007-03-25 |
| Street Address |
15 FOUNDERS LN |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487609640 | Kim Wyatt | Family Medicine | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2006-05-24 |
| 1144850769 | Melinda J Dorsey | Registered Nurse | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2020-01-23 |
| 1578115390 | Doug R Mckain | Nurse Practitioner | 15 Founders Ln, Jacksonville, IL 62650 | 2019-07-11 |
| 1528518602 | Agnes A. Fenner | Nurse Practitioner | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2016-10-12 |
| 1285184713 | Kaitlyn Renee Davidson | Nurse Practitioner | 15 Founders Ln, Jacksonville, IL 62650 | 2016-10-07 |
| 1538518709 | Natalie Mahoney | Family Medicine | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2016-06-08 |
| 1194196493 | Molly Taylor | Nurse Practitioner | 15 Founders Ln, Suite 100, Jacksonville, IL 62650-3919 | 2015-10-13 |
| 1497131072 | Braden G. Anderson | Optometrist | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2015-08-05 |
| 1083020903 | Coral Jeanne Armour | Social Worker | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2014-07-11 |
| 1326458332 | Mosam B Patel | Family Medicine | 15 Founders Ln, Jacksonville, IL 62650-3919 | 2014-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799527 | Emily Vander Zee | Physician Assistant | 6680 Bennett Creek Dr Apt 213, Jacksonville, FL 32216-0018 | 2020-10-30 |
| 1245830314 | Jonathan V Korah | Physician Assistant | 6650 Corporate Center Pkwy Apt 1108, Jacksonville, FL 32216-8725 | 2020-10-28 |
| 1255931473 | Rachel Gavrielle Stahly | Physician Assistant | 11438 Emuness Rd, Jacksonville, FL 32218-4050 | 2020-10-27 |
| 1760099071 | Laura Alexandra Ramos-heckman | Physician Assistant | 2014 Capistrano Dr, Jacksonville, FL 32224-3091 | 2020-09-30 |
| 1184230583 | Julian Clouse | Physician Assistant | 9803 Creekfront Rd Apt 307, Jacksonville, FL 32256-8449 | 2020-09-21 |
| 1962016717 | Stephanie Benton Gentry | Physician Assistant | 3179 Shadow Creek Rd, Jacksonville, FL 32226-2386 | 2020-08-31 |
| 1629689435 | Monarch Mental Health Association | Physician Assistant | 5393 Roosevelt Blvd Ste 8, Jacksonville, FL 32210-8424 | 2020-08-14 |
| 1235749425 | Nicole Lhommedieu | Physician Assistant | 3850 Marnie Pl, Jacksonville, FL 32223-3541 | 2020-08-03 |
| 1861002123 | Naw-am Acio Daniels | Physician Assistant | 7467 Volley Dr N, Jacksonville, FL 32277-9368 | 2020-08-03 |
| 1750906640 | Veronica Adriana Dediego | Physician Assistant | 915 W Monroe St Ste 300, Jacksonville, FL 32204-1177 | 2020-06-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
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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.