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MISS ANGHARAD SUPE LYON PA-C
NPI 1164596128
Student in an Organized Health Care Education/Training Program in Pocatello, ID

Active since November 20, 2006PECOS Enrolled
ISU STUDENT HEALTH CTR, 921 S. 8TH ST., POCATELLO, ID 83209(208) 282-2330(208) 282-4036 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Miss Angharad Supe Lyon Pa-c NPPES

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

MISS ANGHARAD SUPE LYON PA-C (NPI 1164596128) is an individual student in an organized health care education/training program in Pocatello, Idaho, licensed in Idaho (PA-365) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164596128
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMISS ANGHARAD SUPE LYONCredential: PA-C
Location AddressISU STUDENT HEALTH CTR, 921 S. 8TH ST.Pocatello, ID 83209-0001
Mailing Address69 Foothill BlvdPocatello, ID 83204-4063 · (208) 282-2330 · Fax (208) 282-4036
Phone(208) 282-2330
Fax(208) 282-4036
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164596128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in ID · PA-365
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
ISU STUDENT HEALTH CTR, Pocatello, ID 83209
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Angharad Supe Lyon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Angharad Lyon's NPI number?

The NPI number for Angharad Lyon is 1164596128. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Angharad Lyon located?

Angharad Lyon practices at Isu Student Health Ctr 921 S. 8th St., Pocatello, ID 83209. The listed phone number is (208) 282-2330.

What is Angharad Lyon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Angharad Lyon enrolled in Medicare?

Yes. Angharad Lyon is registered in the Medicare PECOS enrollment system.

What insurance does Angharad Lyon accept?

Health plans from PacificSource Health Plans and Select Health list Angharad Lyon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Angharad Lyon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.