Provider Demographics
NPI:1265548861
Name:BENSON, HAPPY LYON (NP)
Entity type:Individual
Prefix:MS
First Name:HAPPY
Middle Name:LYON
Last Name:BENSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 AUSTIN DR
Mailing Address - Street 2:139
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-5403
Mailing Address - Country:US
Mailing Address - Phone:802-497-2077
Mailing Address - Fax:
Practice Address - Street 1:186 PROVIDENCE ST
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-2508
Practice Address - Country:US
Practice Address - Phone:401-615-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO75793363LF0000X
RICNNP37537363LF0000X
VT101.0092130363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT101.0092130OtherDOH
CO58556851Medicaid
NH026720-23OtherNP LICENSE
RICNPP37537OtherNP LICENSE
NHMB2860749OtherDEA
NH026720-23OtherNP LICENSE
RICNPP37537OtherNP LICENSE