LYDA THAO (NPI# 1770101768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770101768 |
| Entity Type | Individual |
| Full Name | LYDA THAO |
| Practice Address |
25 Kessel Ct Ste 105 Madison WI 53711-6227 |
| Mailing Address |
49 Kessel Ct Madison WI 53711-6200 |
| Practice Telephone | 6082802700 |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
25 KESSEL CT STE 105 |
| City | MADISON |
| State | WI |
| Zip Code | 53711-6227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730252131 | Karen K Milner | Psychiatry & Neurology | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2006-11-16 |
| 1700485687 | Laina Macdonald | Counselor | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-10-21 |
| 1881291821 | Bryzena Ann Santos | Case Manager/Care Coordinator | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-10-02 |
| 1871190819 | Joy Ramme | Case Manager/Care Coordinator | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-10-02 |
| 1053934943 | Kelly Ann Gregus | Counselor | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-05-26 |
| 1891318432 | Allison Ann Ragsdale | Case Manager/Care Coordinator | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-05-18 |
| 1518589415 | Abigail Eubanks | Counselor | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2020-05-13 |
| 1477199693 | Stacy Mcnall | Registered Nurse | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2019-11-22 |
| 1023574399 | Velette Reynolds | Case Manager/Care Coordinator | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2019-02-12 |
| 1740774140 | Mandy Ingram | Case Manager/Care Coordinator | 25 Kessel Ct Ste 105, Madison, WI 53711-6227 | 2018-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132946 | Alice M Franks-gray | Case Manager/Care Coordinator | Esu/bayside/crisis Stabilization, 702 W Main Street, Madison, WI 53715-1424 | 2020-10-22 |
| 1073129391 | John Raby | Case Manager/Care Coordinator | 471 Main St Ste B, Madison, WV 25130-1223 | 2020-09-22 |
| 1588272488 | Samantha Rose Vaught | Case Manager/Care Coordinator | 157 Greenwood Dr, Madison, AL 35758-1403 | 2020-07-16 |
| 1598381915 | Errica Braun | Case Manager/Care Coordinator | 4 N Hancock St, Madison, WI 53703-2802 | 2020-06-22 |
| 1093350563 | The Hmong Institute Incorporated | Case Manager/Care Coordinator | 4402 Femrite Dr, Madison, WI 53716-4122 | 2019-11-08 |
| 1548818776 | James Martin | Case Manager/Care Coordinator | 315 Sw Jeanette Cir, Madison, FL 32340-1155 | 2019-08-30 |
| 1275185522 | Selina Lor | Case Manager/Care Coordinator | 17 Daystar Ct Apt D, Madison, WI 53704-7354 | 2019-07-16 |
| 1154897163 | Avenues To Community Inc | Case Manager/Care Coordinator | 579 Donofrio Dr Ste 208, Madison, WI 53719-2839 | 2018-10-17 |
| 1023518214 | Anthony Dwain Pettus Jr. | Case Manager/Care Coordinator | 100 Spenryn Dr, Madison, AL 35758-1890 | 2018-02-14 |
| 1720507585 | Heather Marie Forney | Case Manager/Care Coordinator | 208 E Olin Ave, Madison, WI 53713-1434 | 2017-09-13 |
| Find all providers in MADISON | ||||
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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.