KELLIE BROOKE LYONS NPI 1205514957

NPI Information

  • NPI: 1205514957
  • Provider Name: KELLIE BROOKE LYONS
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18220 STATE HIGHWAY 249
    HOUSTON, TX
    ZIP 77070
  • Phone: (281) 737-9663

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NPI Details

Kellie Brooke Lyons is an adult health nurse practitioner in Houston, TX with 4 years of experience. Kellie Brooke Lyons NPI is 1205514957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18220 STATE HIGHWAY 249
HOUSTON, TX
ZIP 77070-347
Phone: (281) 737-9663

The NPI 1205514957 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2023 and was last updated on 1/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health1114843TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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