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DR. LYDIA ROSAMOND DUVALL DO
NPI 1205415890
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since April 02, 2021PECOS Enrolled
900 N 92ND ST, MILWAUKEE, WI 53226(414) 805-3000 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lydia Rosamond Duvall Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LYDIA ROSAMOND DUVALL DO (NPI 1205415890) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205415890
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. LYDIA ROSAMOND DUVALLCredential: DO
Location Address900 N 92ND STMilwaukee, WI 53226-1202
Mailing Address3489 Fender RdMelbourne, KY 41059-9455 · (859) 448-9174
Phone(414) 805-3000
Sole ProprietorYes
Enumeration DateApril 2, 2021
NPPES CertifiedApril 2, 2021
✔ NPI 1205415890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
900 N 92ND ST, Milwaukee, WI 53226
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lydia Rosamond Duvall Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOLLY ELIZABETH LIDDELL DNP RN AGCNS-BC
Clinical Nurse Specialist
900 N 92ND ST
MILWAUKEE, WI 53226
Milwaukee County (414) 454-7154
MORGAN ELLEBRECHT
Pharmacist
900 N 92ND ST
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3000
ADRIAN HEIN APNP, CRNA
Nurse Anesthetist, Certified Registered
900 N 92ND ST
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3000
MR. CHRISTOPHER JAY SHICKLES OT
Occupational Therapist (Physical Rehabilitation)
900 N 92ND ST
WAUWATOSA, WI 53226
Milwaukee County (414) 805-2844
SETH SEVERSON CARROLL PHARMD
Pharmacist (Emergency Medicine)
900 N 92ND ST
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3000
ANNA MARIE MONSON
Pharmacist
900 N 92ND ST
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3000
AMY CONSOLAZIONE PHARMD
Pharmacist
900 N 92ND ST
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5115
YOUJIA WANG MD
Student in an Organized Health Care Education/Training Program
900 N 92ND ST
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Duvall's NPI number?

The NPI number for Lydia Duvall is 1205415890. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Lydia Duvall located?

Lydia Duvall practices at 900 N 92nd St, Milwaukee, WI 53226. The listed phone number is (414) 805-3000.

What is Lydia Duvall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Lydia Duvall enrolled in Medicare?

Yes. Lydia Duvall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lydia Duvall was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.