Individual provider Active NPI

Lydia Nyakonu Sherman, CNP

  • Primary Care Nurse Practitioner
  • St Louis Park, MN
National Provider Identifier
1013457381
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
CNP5041 Issued in MN
Practice address
5821 Cedar Lake Rd S Ste 201
St Louis Park, MN 55416-1486
Phone
(612) 293-0352
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP5041 MN
Primary Care Nurse Practitioner 363LP2300X CNP5041 MN Primary

Addresses

Primary practice location

5821 Cedar Lake Rd S Ste 201
St Louis Park, MN 55416-1486

Mailing address

5821 Cedar Lake Rd S Ste 201
St Louis Park, MN 55416-1486
Phone (612) 293-0352

Other identifiers 1

IdentifierTypeStateIssuer
1013457381MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170522000571 MN Practitioner - Nurse Practitioner 5698042711 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Apr 15, 2017 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jun 17, 2020 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast St. John'S Hospital CurrentSince Jun 1, 2020 Accepting new patients
Fairview Clinics CurrentSince Jul 7, 2019 Accepting new patients
Fairview Clinics CurrentSince Jul 7, 2019 Accepting new patients
Fairview Bethesda Hospital CurrentSince Jun 1, 2020 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Express Care CurrentSince Nov 1, 2020 Accepting new patients
Healtheast Care System CurrentSince Jun 1, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jun 17, 2020 Accepting new patients
Mngi Digestive Health, P.a. CurrentSince May 16, 2022 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Express Care CurrentSince Nov 1, 2020 Accepting new patients
Stay Spry Health PC PastSince Sep 24, 2023 Accepting new patients

Locations

5705 W Old Shakopee Rd
Ste 150
Bloomington, MN 55437
Phone (612) 870-5530

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

18580 Joplin Ave
Lakeville, MN 55044
Phone (952) 892-9500

606 24th Ave S
#620
Minneapolis, MN 55454

400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

606 24th Ave S
Ste 620
Minneapolis, MN 55454

15700 37th Ave N
Plymouth, MN 55446
Phone (763) 577-0008

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

559 Capitol Blvd
Saint Paul, MN 55103
Phone (651) 232-2000

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1013457381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 CEDAR LAKE RD S STE 201",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161486",
            "telephone_number": "612-293-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 CEDAR LAKE RD S STE 201",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161486",
            "telephone_number": "612-293-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "LYDIA",
        "middle_name": "NYAKONU",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "CNP5041",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "CNP5041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013457381",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.