Active NPIIndividual providerSole proprietor

Danielle M Lyster, PA-C

Physician Assistant in Saint Albans, Vermont

NPI Number1174880090
Practice location
133 Fairfield St, Saint Albans, VT 05478-1726
Fax
—
Last updated
January 23, 2023

Danielle Marie Lyster is a Physician Assistant based in Saint Albans, VT. Danielle Marie Lyster practices in Saint Albans, VT and has the professional credentials of PA-C. The NPI Number for Danielle Marie Lyster is 1174880090 and holds a License No. 104.0085244 (VT). The current practice location address for Danielle Marie Lyster is 133 Fairfield St, Saint Albans, VT 05478-1726 and can be reached out via phone at 802-524-8915.

Provider Profile Details

NPI Number
1174880090
Provider Name
Danielle Marie Lyster
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
133 Fairfield St, Saint Albans, VT 05478-1726
Phone Number
802-524-8915
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 17, 2012
Last Update Date
January 23, 2023
Certification Date
January 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
133 Fairfield St
Saint Albans, VT 05478-1726
State
Vermont
Zip
05478-1726
Phone Number
802-524-8915
Saint Albans, VT 05478Get directions →

Provider Business Mailing Address Details

Address
17 Doon RD
Underhill, VT 05489-9732
City
Underhill
State
VT
Zip
05489-9732
Phone Number
028-922-5150

License Information

License Number (1)
104.0085244
License State (1)
VT
License Number (2)
024052
License State (2)
NY
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
055.0031570
License State (3)
VT
Taxonomy (3)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Danielle M Lyster, PA-C?

The NPI number of Danielle M Lyster, PA-C is 1174880090. It was assigned on April 17, 2012 and is currently active in the NPPES registry.

What is the specialty of Danielle M Lyster, PA-C?

Danielle M Lyster, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 104.0085244.

Where does Danielle M Lyster, PA-C practice?

The practice location is 133 Fairfield St, Saint Albans, VT 05478-1726. The office can be reached at 802-524-8915 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174880090 directly on the NPPES registry website.

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