Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lydiah Otachi, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1689428070

Lydiah Otachi, NURSEPRACTITIONER is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2021, 5 years ago. Practices with Twin Cities Physicians Professional Corporation, a 66-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2024
Specialties on file
3
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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 17370
Saint Paul, MN 55117-0370
Phone: (612) 471-3791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 11498 (MN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 11498 (MN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 11498 (MN)

Record details

NPI number1689428070
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedApril 12, 2024
Last updated in NPPESMay 23, 2026
Certification dateMay 23, 2026
Mailing addressPo Box 17370, Saint Paul, MN 55117-0370

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Twin Cities Physicians Professional Corporation — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Paul