Active NPI
Lydia Asso Mokoena
- Licensed Practical Nurse
- Leominster, MA
National Provider Identifier
1558068064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LN97533
- Practice address
- 499 Mechanic St
Leominster, MA 01453-4431 - Phone
- (774) 329-6133
- NPI assigned
- Feb 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LN97533 | MA | Primary |
Addresses
Primary practice location
499 Mechanic St
Leominster, MA 01453-4431
Mailing address
499 Mechanic St
Leominster, MA 01453-4431
Phone (774) 329-6133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LN97533 | MA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lydia Angels at Home LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Worcester, MA
- NPI 1740852573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1558068064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 MECHANIC ST",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014534431",
"telephone_number": "774-329-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 MECHANIC ST",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014534431",
"telephone_number": "774-329-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKOENA",
"first_name": "LYDIA",
"middle_name": "ASSO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "MA",
"license": "LN97533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.