Lydia Joan Gerard, BSN, RN

Key facts

NPI

1508327370

Entity type

Individual (NPI type 1)

Primary specialty

Registered Nurse 163W00000X

License

4704317569 (MI)

Practice address

1060 Hunt St
Lowell, MI 49331-1079

Phone

(616) 325-9401

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Specialties & licenses

Addresses

Other names

• Lydia Joan Schut Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 26, 2019.

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1508327370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 HUNT ST",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493311079",
            "telephone_number": "616-325-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 HUNT ST",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493311079",
            "telephone_number": "616-325-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARD",
        "first_name": "LYDIA",
        "middle_name": "JOAN",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704317569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYDIA",
            "last_name": "SCHUT",
            "middle_name": "JOAN",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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