LINDY THAKER MD NPI 1174670038

NPI Information

NPI: 1174670038
Provider Name: LINDY THAKER, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1983 SLOAN PL STE 1
SAINT PAUL, MN
ZIP 55117
Phone: (651) 326-5700

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NPI Details

Lindy Thaker, MD is a pediatrics in Saint Paul, MN with 21 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Lindy Thaker, MD NPI is 1174670038. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

1983 SLOAN PL STE 1
SAINT PAUL, MN
ZIP 55117-095
Phone: (651) 326-5700

The NPI 1174670038 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 4/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MD442767	PENNSYLVANIA	No
2	208000000X	Pediatrics		MD43493	TENNESSEE	No
3	2080P1004X	Pediatrics	Physician Nutrition Specialist	65308	MINNESOTA	No
4	208000000X	Pediatrics		MD456456	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	65308	OTHER	MINNESOTA	MINNESOTA MEDICAL LICENSE
2	MD456456	OTHER	DISTRICT OF COLUMBIA	DC MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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