SALLY ANN LYDON (NPI# 1730237876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730237876 |
| Entity Type | Individual |
| Full Name | SALLY ANN LYDON |
| Credential | CRNP |
| Practice Address |
115 4th St S Great Falls MT 59401-3618 |
| Mailing Address |
770 Spring Creek Rd Sand Coulee MT 59472-9749 |
| Practice Telephone | 4064546973 |
| Practice Fax Number | 4064546986 |
| Mailing Telephone | 4067365797 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN20118 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN20118 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
115 4TH ST S |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780691691 | Aleece Paige Reynolds | Counselor | 115 4th St S, Suite 502, Great Falls, MT 59401-3618 | 2006-08-02 |
| 1265903645 | Mona Lynne Clewley | Counselor | 115 4th St S, Great Falls, MT 59401-3618 | 2018-12-11 |
| 1184102162 | Nash John Hallfrisch | Physician Assistant | 115 4th St S, Great Falls, MT 59401-3618 | 2018-08-01 |
| 1356828826 | Karie Marie Pietrykowski | Family Medicine | 115 4th St S, Great Falls, MT 59401 | 2018-07-26 |
| 1417491747 | Kristina Grovhoug | Social Worker | 115 4th St S, Great Falls, MT 59401-3618 | 2016-12-06 |
| 1437608825 | Angela Carroll | Counselor | 115 4th St S, Great Falls, MT 59401-3618 | 2016-09-26 |
| 1851742266 | Annette Griffin | Clinical Nurse Specialist | 115 4th St S, Great Falls, MT 59401-3618 | 2016-06-27 |
| 1275913469 | Zachariah Schenk | Counselor | 115 4th St S, Great Falls, MT 59401-3618 | 2015-06-03 |
| 1922386580 | Linda Kay Wing | Dental Hygienist | 115 4th St S, Great Falls, MT 59401-3618 | 2011-08-01 |
| 1376788893 | Debra K Misener | Dietitian, Registered | 115 4th St S, Great Falls, MT 59401-3618 | 2008-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
| 1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| Find all providers in zip 59401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114588381 | Jaimee Gregoire | Nurse Practitioner | 1401 26th St S, Womens Health, Great Falls, MT 59405-5183 | 2019-06-27 |
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1356793731 | Brandon Hawk | Nurse Practitioner | 800 47th St S, Great Falls, MT 59405-5724 | 2016-07-08 |
| 1477903722 | Hansen Family Practice | Nurse Practitioner | 2300 12th Ave S Ste 10, Great Falls, MT 59405-5017 | 2016-06-17 |
| 1083002729 | Dawn R Underwood | Nurse Practitioner | 28 Eaton Ave, Great Falls, MT 59405-8105 | 2015-01-05 |
| 1689062416 | Nell Ryan | Nurse Practitioner | 3523 8th Ave S, Great Falls, MT 59405-3462 | 2015-01-01 |
| 1770991804 | Bobby Gene Lucas | Nurse Practitioner | 2517 7th Ave S Ste B2, Great Falls, MT 59405-3033 | 2014-08-01 |
| 1871844597 | Tera Lynn Delaney | Nurse Practitioner | 1417 9th St South, Suite 201, Great Falls, MT 59405 | 2012-09-20 |
| 1306007075 | Kimberly B Heck | Nurse Practitioner | 2709 Greenbriar Dr, Great Falls, MT 59404-3639 | 2008-06-24 |
| 1972786986 | Edith Ellsworth | Nurse Practitioner | 724 46th St S, Great Falls, MT 59405-3706 | 2007-12-12 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
Please comment or provide details below to improve the information on SALLY ANN LYDON.
| 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.