{"npi":"1548257652","type":"NPI-1","status":"active","name":{"display":"Tommy Lyons CRNA","other":[],"first":"TOMMY","last":"LYONS","middle":"W.","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"163W00000X","description":"Registered Nurse","primary":false,"state":"OH","license":"RN271691"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"OH","license":"NA71515"}]},"addresses":[{"purpose":"LOCATION","street_1":"1250 S WASHINGTON ST","city":"VAN WERT","state":"OH","postal_code":"458912551","country_code":"US","phone":"4192322866","fax":"4192322867"},{"purpose":"MAILING","street_1":"140 FOX RD","city":"VAN WERT","state":"OH","postal_code":"458912475","country_code":"US","street_2":"SUITE 207","phone":"4192322866","fax":"4192322867"}],"license":{"state":"OH","number":"NA71515"},"identifiers":[{"type_code":"01","label":"Other","value":"P00241523","state":"OH","issuer":"MEDICARE RAILROAD INDV."},{"type_code":"05","label":"Medicaid","value":"2495250","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"20290372400","state":"OH","issuer":"WORKMENS COMP"},{"type_code":"01","label":"Other","value":"000000373810","state":"OH","issuer":"ANTHEM BC/BS"},{"type_code":"01","label":"Other","value":"202903724","state":"OH","issuer":"MEDICAL MUTUAL"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040810001505","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"OH","pac_id":"2163494006"}]},"enumeration_date":"2005-10-04","last_updated":"2020-01-24","_meta":{"source":"NPPES","snapshot_date":"2020-01-24","doc_url":"https://findmynpi.com/api"}}