Individual provider Active NPI

Hawa Sophia Lymas

  • Registered Nurse
  • Maple Grove, MN
National Provider Identifier
1790286250
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R207277-7 Issued in MN
Practice address
7865 Polaris LN N
Maple Grove, MN 55311-2114
Phone
(763) 477-1135
NPI assigned
Feb 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R207277-7 MN Primary

Addresses

Primary practice location

7865 Polaris LN N
Maple Grove, MN 55311-2114

Mailing address

7865 Polaris LN N
Maple Grove, MN 55311-2114
Phone (763) 477-1135

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
R207277-7MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gbaleah Home Care LLC PastSince Nov 3, 2019 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": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1790286250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 POLARIS LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112114",
            "telephone_number": "763-477-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 POLARIS LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112114",
            "telephone_number": "763-477-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMAS",
        "first_name": "HAWA",
        "middle_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R207277-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; 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.