LESLIE ANN LYDA (NPI# 1417263070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417263070 |
| Entity Type | Individual |
| Full Name | LESLIE ANN LYDA |
| Credential | NP |
| Practice Address |
77 Cadillac Dr Sacramento CA 95825-5453 |
| Mailing Address |
4026 55th St Sacramento CA 95820-3056 |
| Practice Telephone | 9163251040 |
| Mailing Telephone | 9165084282 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
19988 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
77 CADILLAC DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267234 | Bruce Alan Bob | Obstetrics & Gynecology | 77 Cadillac Dr, Suite 230, Sacramento, CA 95825-5453 | 2006-03-03 |
| 1043758923 | Maria Raquel Kronen | Obstetrics & Gynecology | 77 Cadillac Dr, Sacramento, CA 95825-5453 | 2017-02-10 |
| 1962878033 | Friz J Diaz, Dds, Inc. | Dentist | 77 Cadillac Dr, Suite 165, Sacramento, CA 95825-5453 | 2015-08-12 |
| 1497130660 | Nivano Ambulatory Surgery Center, Lp | Clinic/Center | 77 Cadillac Dr, Suite 130, Sacramento, CA 95825-5453 | 2015-07-29 |
| 1245668300 | Radiological Associates of Sacramento Medical Group, Inc. | Urology | 77 Cadillac Dr, Suite 130/180, Sacramento, CA 95825-5453 | 2013-10-28 |
| 1356602635 | Lifecenter Sacramento LLC | Clinic/Center | 77 Cadillac Dr, Sacramento, CA 95825-5453 | 2012-06-04 |
| 1194083477 | Nataliya Carlson | Student in an Organized Health Care Education/Training Program | 77 Cadillac Dr, Suite 230, Sacramento, CA 95825-5480 | 2012-04-24 |
| 1992080915 | James Anderson | Nurse Practitioner | 77 Cadillac Dr, Suite Number 210, Sacramento, CA 95825-5453 | 2011-10-21 |
| 1598908816 | Susan Kristina Glabe | Physician Assistant | 77 Cadillac Dr, Sacramento, CA 95825-5453 | 2009-04-16 |
| 1265618193 | Ringwald Medical Corporation | Pediatrics | 77 Cadillac Dr, Ste. 200, Sacramento, CA 95825-5453 | 2008-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104877 | Aimee Yrigan Aquitania | Nurse Practitioner | 701 Howe Ave Ste 50, Sacramento, CA 95825-4670 | 2020-08-12 |
| 1861957862 | Jarad Reddekopp | Nurse Practitioner | 1300 Ethan Way Ste 600, Sacramento, CA 95825-2296 | 2019-02-04 |
| 1972026391 | Kevin Yi Chen | Nurse Practitioner | 2751 W River Dr Apt 921, Sacramento, CA 95833-3785 | 2017-07-18 |
| 1790235323 | Kendall Thelen | Nurse Practitioner | 1750 Howe Ave, Suite 500, Sacramento, CA 95825-3367 | 2016-10-06 |
| 1962950550 | Jennifer Mcgrath | Nurse Practitioner | 2315 Stockton Blvd Ste 4212, Sacramento, CA 95817-2201 | 2016-09-13 |
| 1659679595 | Nai Sio Saechao | Nurse Practitioner | 9948 Firstone Dr, Sacramento, CA 95829-8149 | 2011-03-01 |
| 1356464333 | Jenifer Lyn Rofkahr | Nurse Practitioner | 1485 River Park Dr Ste 200, Sacramento, CA 95815-4530 | 2007-04-06 |
| 1700926185 | Lorin J Bacon | Nurse Practitioner | 2345 Fair Oaks Blvd # 2853, Sacramento, CA 95825-4708 | 2007-02-07 |
| 1952457467 | Mary Wyckoff | Nurse Practitioner | 2315 Stockton Ave, Sacramento, CA 95817 | 2007-01-26 |
| 1093799660 | Jeff Scott Kasten | Nurse Practitioner | 2316 Stockton Blvd, Sacramento, CA 95817-2202 | 2005-12-06 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on LESLIE ANN LYDA.
| 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.