Provider Demographics
NPI:1750195434
Name:LYDIATT, HANNAH (MS, CTRS)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:LYDIATT
Suffix:
Gender:F
Credentials:MS, CTRS
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:JOYCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7717 MIAMI ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-6544
Mailing Address - Country:US
Mailing Address - Phone:402-926-6621
Mailing Address - Fax:
Practice Address - Street 1:6902 PINE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-2855
Practice Address - Country:US
Practice Address - Phone:402-559-4836
Practice Address - Fax:402-559-1781
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant