Active NPI
Mai Yia Lor
- Dietary Manager
- Brooklyn Center, MN
National Provider Identifier
1982519302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dietary Manager
- License
- 86054333
- Practice address
- 1350 Shingle Creek Xing Ste B
Brooklyn Center, MN 55430-2851 - Phone
- (612) 295-7218
- NPI assigned
- Aug 18, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dietary Manager | 132700000X | 86054333 | MN | Primary |
Addresses
Primary practice location
1350 Shingle Creek Xing Ste B
Brooklyn Center, MN 55430-2851
Mailing address
26140 Galen Dr
Wyoming, MN 55092-9341
Phone (612) 295-7218
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1982519302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26140 GALEN DR",
"city": "WYOMING",
"state": "MN",
"postal_code": "550929341",
"telephone_number": "612-295-7218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 SHINGLE CREEK XING STE B",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302851",
"telephone_number": "612-295-7218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOR",
"first_name": "MAI YIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-18",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "MN",
"license": "86054333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.