Susan Lyon, NURSE PRACTITIONER
Susan Lyon, NURSE PRACTITIONER is a Nurse Practitioner in San Diego, CA, registered under NPI 1043462690. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 10440 BLACK MOUNTAIN RD SAN DIEGO MIRAMAR COLLEGE STUDENT HEALTH SERVICES S-103, San Diego, CA 92126. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 11463 | CA | Nurse Practitioner primary |
| 403159 | CA | Registered Nurse |
This provider holds licence 11463 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Nurse Practitioner covers
(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. NUCC Health Care Provider Taxonomy, code 363L00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11463 | CA | primary |
| 163W00000X | Registered Nurse | 403159 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1043462690 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 15, 2008 |
| Last updated | Oct 15, 2008 |
| Status | Active |
| Sole proprietor | No |
| Credential | NURSE PRACTITIONER |
| Practice address |
10440 BLACK MOUNTAIN RD SAN DIEGO MIRAMAR COLLEGE STUDENT HEALTH SERVICES S-103 San Diego, CA 92126 (858) 536-7881 Fax (858) 689-0387 |
| Mailing address |
10440 BLACK MOUNTAIN RD. SAN DIEGO MIRAMAR COLLEGE, STUDENT HEALTH SERVICES S103 San Diego, CA 92126 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 4 | 3 | 4 | 6 | 2 | 6 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 8 | 3 | 8 | 6 | 4 | 6 | 9 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.