LYDIA HANNAH (NPI# 1104307974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104307974 |
| Entity Type | Individual |
| Full Name | LYDIA HANNAH |
| Credential | MA |
| Practice Address |
1772 Stieger Lake Ln Victoria MN 55386-7723 |
| Mailing Address |
4013 12th Ave S Minneapolis MN 55407-3239 |
| Practice Telephone | 9624444600 |
| Mailing Telephone | 6128199244 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1772 STIEGER LAKE LN |
| City | VICTORIA |
| State | MN |
| Zip Code | 55386-7723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689900177 | Anne Marilyn Fleming | Social Worker | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2009-10-19 |
| 1730791807 | Stephanie Ellen Laurey | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2020-08-20 |
| 1861001547 | Erin Guyette | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2020-07-28 |
| 1255980009 | Emily Jaeger | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2019-09-04 |
| 1427605336 | Haley Elizabeth Backdahl | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2019-08-25 |
| 1447805205 | Ali S Kanan | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2019-08-07 |
| 1508422874 | Brittney Burns | Nurse Practitioner | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2019-05-13 |
| 1659936664 | Cassidy Williams | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2019-05-06 |
| 1437713161 | Amy Elizabeth Backus | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2019-04-29 |
| 1215417605 | Samantha Clos | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932647294 | Nathan Zachary Servey | Chiropractor | 1700 Stieger Lake Lane, Suite 103, Victoria, MN 55386 | 2017-02-07 |
| 1710433420 | Seek Eye Care, Pa | Optometrist | 7940 Victoria Drive, Suite 103, Victoria, MN 55386 | 2016-09-01 |
| 1801211586 | Jillyne Bobrowsky | Nutritionist | 8042 Victoria Drive, Victoria, MN 55386 | 2014-03-04 |
| 1730481391 | Robert Elmer Brown | Chiropractor | 8000 Rose, Victoria, MN 55386 | 2010-12-02 |
| 1952505323 | Kerber Psychological Services LLC | Community/Behavioral Health | 562 Bavaria Lane, Chaska, MN 55386 | 2007-06-12 |
| 1720182082 | Emily Ann Morisset | Speech-Language Pathologist | 1772 Steiger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
| 1629172986 | Michele Therese Pulvermacher | Speech-Language Pathologist | 1772 Stieger Lake Lane, Victoria, MN 55386 | 2006-09-08 |
| 1093738692 | Active Living Chiropractic P.a. | Clinic/Center | 1550 Arboretum Blvd, Victoria, MN 55386 | 2006-07-25 |
| 1477757698 | Katie Marie Skaro | Occupational Therapist | 1772 Stieger Lake Lane, Suite 100, Victoria, MN 55386 | 2007-06-12 |
| 1245315027 | Kid Talk Inc | Occupational Therapist | 1772 Steiger Lake Lane, Victoria, MN 55386 | 2006-10-27 |
| Find all providers in zip 55386 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003447350 | Alexis Lopez | Student in an Organized Health Care Education/Training Program | 405 Queenswood Trl, Victoria, TX 77901-2548 | 2020-01-27 |
| 1396107272 | Bailey Christine Erdrich | Student in an Organized Health Care Education/Training Program | 1772 Steiger Lake Ln Ste 200, Victoria, MN 55386-7723 | 2016-03-22 |
| 1730791807 | Stephanie Ellen Laurey | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2020-08-20 |
| 1861001547 | Erin Guyette | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2020-07-28 |
| 1578185054 | Nafeesa Salam | Student in an Organized Health Care Education/Training Program | 501 E Colorado St, Victoria, TX 77901-6025 | 2020-05-07 |
| 1912528605 | Iqra Qureshi | Student in an Organized Health Care Education/Training Program | 501 E Colorado St, Victoria, TX 77901-6025 | 2020-05-04 |
| 1285255620 | Amanda Ndirika | Student in an Organized Health Care Education/Training Program | 501 E Colorado St, Victoria, TX 77901-6025 | 2020-04-27 |
| 1255980009 | Emily Jaeger | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2019-09-04 |
| 1427605336 | Haley Elizabeth Backdahl | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2019-08-25 |
| 1447805205 | Ali S Kanan | Student in an Organized Health Care Education/Training Program | 1772 Stieger Lake Ln, Victoria, MN 55386-7723 | 2019-08-07 |
| Find all providers in VICTORIA | ||||
Please comment or provide details below to improve the information on LYDIA HANNAH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.