Lydiah Kerubo Omwoyo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2470205 Issued in MN

Practice address

8642 149TH CT NW
Ramsey, MN 55303-6643

Phone

(763) 898-7779

NPI assigned

Nov 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386410959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8642 149TH CT NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553036643",
            "telephone_number": "763-898-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8642 149TH CT NW",
            "city": "RAMSEY",
            "state": "MN",
            "postal_code": "553036643",
            "telephone_number": "763-898-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMWOYO",
        "first_name": "LYDIAH",
        "middle_name": "KERUBO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2470205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Seniors Transportation LLC
• Charles Maranga Nyambati, RN, BSN, PHN
• Laurel Ann Nygaard-Bluhm, PT
• Claudia Lee Olson, RN
• Kenan Ombasa
• Joseph Onyambu Ondicho, DNP / PMHNP
• Orthodontic Care Specialists, PLLC
• Pact Charter School
• Palisade Assisted Living Inc
• Kendra Palmer

• Registered Nurse in Ramsey, MN
• Providers in Ramsey, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.