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

Renee Elise Lydiard

Individual provider Family Nurse Practitioner · NPI 1144987793

Renee Elise Lydiard is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2021, 5 years ago. Practices with Bhsm Rehabilitation LLC, a 456-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
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Practice location Address checks out

4213 E Avalon Dr
Phoenix, AZ 85018-7207
Phone: (602) 692-7810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 266838 (AZ)

Record details

NPI number1144987793
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 18, 2021
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021

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 Bhsm Rehabilitation Llc — 456 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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