LYDIA NYAKONU SHERMAN (NPI# 1013457381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013457381 |
| Entity Type | Individual |
| Full Name | LYDIA NYAKONU SHERMAN |
| Credential | CNP |
| Practice Address |
606 24th Ave S #620 Minneapolis MN 55454 |
| Mailing Address |
606 24th Ave S Ste 620 Minneapolis MN 55454-1455 |
| Practice Telephone | 6122736099 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
CNP5041 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1013457381 | 05 |
| Street Address |
606 24TH AVE S #620 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
| 1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
| 1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
| 1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
| 1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
| 1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
| 1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
| 1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
| 1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
| 1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
| Find all providers in zip 55454 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1073163515 | Alissa Pool | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-09-17 |
| 1619525987 | Shafi Abdulle | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-08-29 |
| 1194378117 | Habon Abdullahi Mohamed | Nurse Practitioner | 2711 E Franklin Ave, Minneapolis, MN 55406-1105 | 2019-07-18 |
| 1568014033 | Amy Skroch | Nurse Practitioner | 914 S 8th St, Minneapolis, MN 55404 | 2019-07-15 |
| 1104488162 | Natalie Rose Reker | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2019-06-30 |
| 1245899285 | Gladys Ndip | Nurse Practitioner | 1801 Nicollet Ave, Minneapolis, MN 55403-3791 | 2019-06-12 |
| 1073071239 | Nice Healthcare LLC | Nurse Practitioner | 721 Quincy St Ne, Minneapolis, MN 55413-2317 | 2019-03-06 |
| 1306340898 | Katherine Malmer | Nurse Practitioner | 500 Harvard St Se, Minneapolis, MN 55455 | 2018-03-20 |
| 1881135283 | Richard Leander Traut II | Nurse Practitioner | 9300 Noble Pkwy N, Minneapolis, MN 55443-5500 | 2017-03-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
Please comment or provide details below to improve the information on LYDIA NYAKONU SHERMAN.
| 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.