STACY LYONS (NPI# 1588801641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588801641 |
| Entity Type | Individual |
| Full Name | STACY LYONS |
| Credential | PMHNP-BC,FNP-BC,LPC |
| Practice Address |
4425 W Olive Ave Ste 194 Glendale AZ 85302-3853 |
| Mailing Address |
7150 E Camelback Rd Ste 444 Scottsdale AZ 85251-1257 |
| Practice Telephone | 4807841514 |
| Mailing Telephone | 4809007912 |
| Mailing Fax Number | 8186598901 |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
2006009258 | MO | Behavioral Health & Social Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2011004597 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2012022878 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7150 E Camcelback Rd, Scottsdale, AZ 85251 | 4809007912 | 8186598901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962402644 | Stacy A Lyons | Optometrist | 31 Flagg Drive, New England Eye Fuller Middle School, Framingham, MA 01702 | 2005-07-26 |
| 1881024396 | Stacy A Lyons | Physical Therapy Assistant | 170 Pinecrest Dr, Gallipolis, OH 45631-1347 | 2013-11-19 |
| 1831322270 | Stacy Lynn Lyons | Occupational Therapist | 11539 Park Woods Cir, Suite 502, Alpharetta, GA 30005-4413 | 2009-09-02 |
| Street Address |
4425 W OLIVE AVE STE 194 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-3853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130205 | Allison Musser | Counselor | 4425 W Olive Ave Ste 194, Glendale, AZ 85302-3853 | 2019-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
| 1245870799 | Logan Wellness Advanced Nursing Practice Corp | Nurse Practitioner | 655 N Central Ave # 1754, Glendale, CA 91203-1422 | 2020-01-13 |
| 1164901161 | Jesus Alexie Romero | Nurse Practitioner | 6266 W Blackhawk Dr, Glendale, AZ 85308-6798 | 2018-08-09 |
| 1194226928 | Adina Ramona Boros | Nurse Practitioner | 5625 W Bell Rd # 100, Glendale, AZ 85308-3878 | 2018-02-27 |
| 1780107433 | Mark Alan Logan | Nurse Practitioner | 107 1/2 N Columbus Ave, Glendale, CA 91203-2504 | 2017-07-24 |
| 1740702901 | Barbara Browder | Nurse Practitioner | 17505 N Glendale Ave, Glendale, AZ 85308 | 2017-07-10 |
| 1710413208 | Jhaurel Johnson White | Nurse Practitioner | 1510 S Central Ave Ste 600, Glendale, CA 91204-2548 | 2017-05-03 |
| 1508227687 | Lydia Christine Veratti | Nurse Practitioner | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2016-03-16 |
| 1336536960 | Eric Tubat | Nurse Practitioner | 10329 W Montebello Ave, Glendale, AZ 85307-4313 | 2015-04-21 |
| 1760775837 | Susan E Harrell | Nurse Practitioner | 10270 N 67 Ave, Suite 106, Glendale, AZ 85302-1005 | 2011-05-24 |
| Find all providers in GLENDALE | ||||
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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.