1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Nurse Practitioner
  6. NPI Profile

NANCY LIDDY
NPI 1891716528
Nurse Practitioner - Adult Health in Minneapolis, MN

Active since July 21, 2006
525 PORTLAND AVE, MC: 952, MINNEAPOLIS, MN 55415(612) 348-9840(612) 596-7900 Get Directions Write a Review

NPPES record last updated: April 15, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nancy Liddy NPPES

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

NANCY LIDDY (NPI 1891716528) is an individual adult health provider in Minneapolis, Minnesota, licensed in Minnesota (R072865-4) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1891716528
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNANCY LIDDY
Location Address525 PORTLAND AVE, MC: 952Minneapolis, MN 55415-1533
Mailing Address525 Portland Ave, Mc: 952Minneapolis, MN 55415-1533 · (612) 348-9840 · Fax (612) 596-7900
Phone(612) 348-9840
Fax(612) 596-7900
Sole ProprietorNo
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 15, 2013
✔ NPI 1891716528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MN · R072865-4
525 PORTLAND AVE, Minneapolis, MN 55415
Open in Google Maps ↗

Other Identifiers 5

Other715711042694MN · Preferred One
Other9G707LIMN · Blue Cross Blue Shield
Medicare UPINNP0728654MN
Medicare ID-Type Unspecified500001306MN
Medicaid7497229-00MN

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.

LAURIE A MOSER MA
Marriage & Family Therapist
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-7071
COMMUNITY OUTREACH FOR PSYCHIATRIC EMERGENCIES
Community/Behavioral Health
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
MS. RACHEL LUKASKI LPCC
Counselor (Professional)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-3016
MR. CHARLES WILSON JONES LMFT
Marriage & Family Therapist
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-2233
MS. TYNESSIA NICOLE CHEROKEE SNODDY MA, LADC, LPCC
Counselor (Professional)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
KRYSTAL MCKAY
Nurse Practitioner (Women's Health)
525 PORTLAND AVE, HSB 4TH FLOOR, MC 952
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-9840
AMANDA GREGG PSY.D., L.P.
Psychologist (Clinical)
525 PORTLAND AVE, MC 963
MINNEAPOLIS, MN 55415
Hennepin County (612) 596-1223
MRS. BERNICE DAVID-COOPER LICSW
Social Worker (Clinical)
525 PORTLAND AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 348-1223

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 Nancy Liddy's NPI number?

The NPI number for Nancy Liddy is 1891716528. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Nancy Liddy located?

Nancy Liddy practices at 525 Portland Ave Mc: 952, Minneapolis, MN 55415. The listed phone number is (612) 348-9840.

What is Nancy Liddy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Nancy Liddy was last updated on April 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.