MRS. SUSAN LYNETTE LYON NURSE PRACTITIONER
NPI 1043462690
Nurse Practitioner in San Diego, CA

Q: What is Susan Lyon's NPI number?

The NPI number for Susan Lyon is 1043462690. It was assigned to this individual provider in the NPPES registry on October 15, 2008. The provider is also known as Lynette Lyon.

Q: What is Susan Lyon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Lyon was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2008

10440 BLACK MOUNTAIN RD, SAN DIEGO MIRAMAR COLLEGE STUDENT HEALTH SERVICES S-103, SAN DIEGO, CA 92126(858) 536-7881(858) 689-0387 Get Directions Write a Review

NPPES record last updated: October 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Susan Lynette Lyon Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SUSAN LYNETTE LYON NURSE PRACTITIONER (NPI 1043462690) is an individual nurse practitioner in San Diego, California, licensed in California (11463) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1043462690

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. SUSAN LYNETTE LYONCredential: NURSE PRACTITIONER

Location Address10440 BLACK MOUNTAIN RD, SAN DIEGO MIRAMAR COLLEGE STUDENT HEALTH SERVICES S-103San Diego, CA 92126

Mailing Address10440 Black Mountain Rd., San Diego Miramar College, Student Health Services S103San Diego, CA 92126 · (858) 536-7881 · Fax (858) 689-0387

Phone(858) 536-7881

Fax(858) 689-0387

Sole ProprietorNo

Enumeration DateOctober 15, 2008

✔ NPI 1043462690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 11463

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 403159 (CA)

10440 BLACK MOUNTAIN RD, San Diego, CA 92126

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Other Names 1

Professional Name (2)Lynette Lyon

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIZAVETA NIKITSINA

Nurse Practitioner (Family)

10440 BLACK MOUNTAIN RD
SAN DIEGO, CA 92126

San Diego County (619) 388-7881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Lyon's NPI number?

The NPI number for Susan Lyon is 1043462690. It was assigned to this individual provider in the NPPES registry on October 15, 2008. The provider is also known as Lynette Lyon.

Where is Susan Lyon located?

Susan Lyon practices at 10440 Black Mountain Rd San Diego Miramar College Student Health Services S-103, San Diego, CA 92126. The listed phone number is (858) 536-7881.

What is Susan Lyon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Susan Lyon was last updated on October 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.