Lydiah Otachi, NURSE PRACTITIONER
NPI 1689428070ActiveIndividual· Nurse Practitioner, Primary Care· Eagan, MN
Nurse Practitioner, Primary Care (NURSE PRACTITIONER) with Twin Cities Physicians Professional Corporation, practicing in Eagan, Minnesota. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1689428070 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | No |
| NPI issued | Apr 12, 2024 |
| Last updated in NPPES | Sep 21, 2026 |
| Certified by provider | Sep 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 11498 | MN |
| Nurse Practitioner, Adult Health | 363LA2200X | 11498 | MN |
| Nurse Practitioner, Gerontology | 363LG0600X | 11498 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Twin Cities Physicians Professional CorporationGolden Valley, MN · 68 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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- 1649672528
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