MS. BIRDENA M LYONS (NPI# 1265721120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265721120 |
| Entity Type | Individual |
| Full Name | MS. BIRDENA M LYONS |
| Credential | LPN |
| Practice Address |
115 6th St Ne Cass Lake MN 56633-3428 |
| Mailing Address |
115 6th St. Nw Cass Lake MN 56633 |
| Practice Telephone | 2183358315 |
| Mailing Telephone | 2183358315 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L0343408 | MN | Nursing Service Providers |
| Street Address |
115 6TH ST NE |
| City | CASS LAKE |
| State | MN |
| Zip Code | 56633-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942310875 | Leech Lake Tribal Council | Clinic/Center | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2006-08-30 |
| 1629369426 | Gloria Kathleen Jones | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-04-27 |
| 1396044673 | Millicent A Simenson | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-25 |
| 1710286125 | Josephine Evelyn Brown | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1629377007 | Jennifer Lee Parkhurst | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1235438623 | Roberta J Decker | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1346549862 | Bernadette Marie Gotchie | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-23 |
| 1619276169 | Cynthia Ann Doke | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-23 |
| 1548401706 | Deborah Delight Troy | Registered Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2009-03-18 |
| 1497911440 | Karey Marlene Lyon | Nurse Practitioner | 115 6th St Ne, Suite E, Cass Lake, MN 56633-3428 | 2008-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205485430 | Jessica Rose Malterud | Registered Nurse | 416-2nd Street Nw, Cass Lake, MN 56633 | 2019-09-10 |
| 1174079917 | Stacy Ann Cederstrom | Nurse Practitioner | 425 7th Street North East, Cass Lake, MN 56633 | 2016-08-31 |
| 1679933568 | Minnesota Chippewa Tribe Adult Day Services | Clinic/Center | 15546 State 371 Nw, Cass Lake, MN 56633 | 2016-03-04 |
| 1073979084 | Constance J Mangiamele | Registered Nurse | 190 Sailstar Dr. Nw, Cass Lake, MN 56633 | 2016-01-06 |
| 1194193086 | Whitney Dickson | Pharmacist | 425 7th Street Northwest, Cass Lake, MN 56633 | 2015-09-09 |
| 1245669332 | Marsha Ellen Kaehne | Nurse Practitioner | 119 Aspen Ave., Cass Lake, MN 56633 | 2013-11-08 |
| 1376985952 | Home Free Care, LLC | Home Health | 310 Norway Ave. Ne, Cass Lake, MN 56633 | 2013-07-23 |
| 1831468479 | Leech Lake Band of Ojibwe | Substance Abuse Rehabilitation Facility | 113 7th Stree Nw, Cass Lake, MN 56633 | 2011-12-28 |
| 1275823742 | Leech Lake Band of Ojibwe | Community/Behavioral Health | 16123 Grant Utley Ave Nw, Cass Lake, MN 56633 | 2011-04-18 |
| 1659679843 | Leech Lake Band of Ojibwe | Community/Behavioral Health | 115 6th Street Nw, Cass Lake, MN 56633 | 2011-03-11 |
| Find all providers in zip 56633 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518439959 | Julie Lou Swedberg | Licensed Practical Nurse | 416 2nd Street Nw, Cass Lake, MN 56633-0727 | 2018-12-26 |
| 1396044673 | Millicent A Simenson | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-25 |
| 1710286125 | Josephine Evelyn Brown | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1235438623 | Roberta J Decker | Licensed Practical Nurse | 115 6th St Ne, Cass Lake, MN 56633-3428 | 2011-03-24 |
| 1487877981 | Melinda Haubrich | Licensed Practical Nurse | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2007-04-11 |
| 1316160773 | Catherine Spicer | Licensed Practical Nurse | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2007-04-11 |
| 1154544658 | Crystal Richey | Licensed Practical Nurse | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2007-04-11 |
| 1225150766 | Steven Schmitz | Licensed Practical Nurse | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2007-04-04 |
| 1992827422 | Robin Holmstrom | Licensed Practical Nurse | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2007-04-04 |
| 1255453866 | Lois Johnson | Licensed Practical Nurse | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2007-04-04 |
| Find all providers in CASS LAKE | ||||
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| 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.