npidexNPI registry + Medicare data

LYDIAH OTACHI, NURSE PRACTITIONER

Primary Care Nurse Practitioner · SAINT PAUL, MN

Individual Active NPI 1689428070

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Primary Care Nurse Practitioner363LP2300X✓11498MN
Adult Health Nurse Practitioner363LA2200X11498MN
Gerontology Nurse Practitioner363LG0600X11498MN

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.