AUDREY LIDKE (NPI# 1275823676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275823676 |
| Entity Type | Individual |
| Full Name | AUDREY LIDKE |
| Credential | LPC, LISW |
| Practice Address |
5645 Meadow Dr Se Rochester MN 55904-8628 |
| Practice Telephone | 5079514495 |
| Mailing Telephone | 5079514495 |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
00270 | MN | Behavioral Health & Social Service Providers |
| Street Address |
5645 MEADOW DR SE |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55904-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740570134 | Horses and Heroes LLC | Counselor | 5645 Meadow Dr Se, Rochester, MN 55904-8628 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1952954992 | Jane Yaakni Hopaki | Midwife | 1224 Eastgate Dr Se, Rochester, MN 55904 | 2019-07-18 |
| 1851896187 | Hamdi A Ali | Pediatrics | 26 Mayo Park Dr Se, Rochester, MN 55904 | 2018-03-28 |
| 1255847059 | Brooke Maleszewski | Nurse Practitioner | 821 3rd Ave Se Ste 15, Rochester, MN 55904 | 2017-12-17 |
| 1699215988 | Maximus Language Resources | Interpreter | 1775 3rd Ave Se, Rochester, MN 55904 | 2017-03-06 |
| 1215484803 | Kylene Starr Allen | Social Worker | 343 Woodlake Dr. Se, Zumbro Valley Health Center, Rochester, MN 55904 | 2016-09-01 |
| 1013384627 | Breathe Easy Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 40 16th St. Sw Suite G, Rochester, MN 55904 | 2015-08-31 |
| 1932473105 | Michelle Lee Sather | Counselor | 343 Woodlake Drive Se, Rochester, MN 55904 | 2012-03-05 |
| 1538453022 | Amy M Carey | Social Worker | 40 16th Street Sw, Suite D, Rochester, MN 55904 | 2011-06-02 |
| 1396059895 | Lisa Marie Bingham | Optometrist | 111 S. Broadway, Rochester, MN 55904 | 2010-07-27 |
| Find all providers in zip 55904 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487139952 | Karen Lynn Scott | Counselor | 401 16th St Ne, Rochester, MN 55906-4152 | 2018-09-30 |
| 1871085522 | Cynthie Washburn Christensen | Counselor | 300 1st Ave Nw Ste 240, Rochester, MN 55901-2830 | 2018-05-30 |
| 1871959213 | Catharine Mather-colcernian | Counselor | 704 Green Cir, #201, Rochester, MI 48307-6603 | 2016-01-14 |
| 1871981290 | Tanya Rider | Counselor | 1747 23rd St Se, Rochester, MN 55904-5845 | 2015-01-07 |
| 1992132732 | Agape Counseling Services, LLC | Counselor | 1530 Greenview Dr Sw Ste 207, Rochester, MN 55902-4327 | 2013-10-10 |
| 1740570134 | Horses and Heroes LLC | Counselor | 5645 Meadow Dr Se, Rochester, MN 55904-8628 | 2011-04-19 |
| 1073745576 | Mary P Lamprecht | Counselor | 2100 Campus Dr Se Ste 200, Rochester, MN 55904-4845 | 2009-08-17 |
| 1265676258 | Crystal Marie Guyse | Counselor | 724 1st Ave Sw, Suite 1, Rochester, MN 55902-3356 | 2009-04-22 |
| 1851531867 | Juliet Sheralyn Beckel | Counselor | 602 11th Ave Nw Ste 300, Rochester, MN 55901-2297 | 2009-03-03 |
| 1508053687 | Cheryl Swenny & Associates | Counselor | 201 S. Walnut St, Rochester, IL 62563 | 2007-10-02 |
| Find all providers in ROCHESTER | ||||
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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.