Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Stephen Lyddane

Registered Nurse β€’ Springfield, OR

Active NPI 1063808632 Individual Practitioner Male Practitioner
Practice location in NPPES

2073 Olympic St
Springfield, OR 974773413

Call 5416823550 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2073 Olympic St

Springfield, OR 974773413

Telephone 5416823550
Fax 5416823551
Organization at the Same NPPES Address or Phone
Lane County Oregon Facility NPI 1326138314

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Oregon

62 active clinicians are listed under Registered Nurse with a practice address in Springfield, OR (2,451 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 62 clinicians have the CMS telehealth indicator.

0% of these 62 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES OR 201608698RN

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES AK NURR38019

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

25 listed
Briana Axline , NP

Nurse Practitioner - Family

NPI 1942474283

Nurse Practitioner

Dr. John Bagdade , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1811020415

Doctor of Medicine (M.D.)

Karen Blundon , PA-C

Physician Assistant

NPI 1447561899

Physician Assistant (Certified)

Dr. Maria Bolanos , DO

Family Medicine

NPI 1801949417

Doctor of Osteopathic Medicine (D.O.)

Dr. Kevin Brown , MD

Internal Medicine

NPI 1558757922

Doctor of Medicine (M.D.)

Dr. Richard Brunader , MD

Family Medicine - Geriatric Medicine

NPI 1912982992

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active February 01, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location February 01, 2017

Registered at 2073 OLYMPIC ST, SPRINGFIELD, OR 974773413 (Tel: 5416823550)

πŸ“
Updated Business Mailing Address February 01, 2017

Registered at 2073 OLYMPIC ST, SPRINGFIELD, OR 974773413 (Tel: 5416823550)

πŸ‘€
Provider Name / Credentials Updated February 01, 2017

Recorded as STEPHEN LYDDANE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2017

Registered Nurse (license number reported to NPPES: OR 201608698RN)

βœ…
NPI Profile Active April 10, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 10, 2015

Registered at 1490 ST HWY, BETHEL, AK 995599805 (Tel: 9075432110)

πŸ“
Business Mailing Address (Initial Record) April 10, 2015

Registered at 1490 STATE HIGHWAY, BETHEL, AK 99559

πŸ‘€
Provider Name / Credentials (Initial Record) April 10, 2015

Recorded as STEPHEN LYDDANE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2015

Registered Nurse (license number reported to NPPES: AK NURR38019)

🟒
Initial NPI Registration & Enumeration April 10, 2015

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1063808632
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2015
Last Update: February 01, 2017
Sole Proprietor: No

Mailing Address

2073 Olympic St

Springfield, OR 974773413

Phone: 5416823550

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.