Individual provider Active NPI

Lydia Asso Mokoena

  • Licensed Practical Nurse
  • Leominster, MA
National Provider Identifier
1558068064
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN97533 Issued in MA
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

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
LN97533MAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lydia Angels at Home LLC CurrentSince May 25, 2025 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.

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.

Verify at the official NPI Registry.