Firstline Therapeutic Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FIRSTLINE THERAPEUTIC SERVICES LLC

Practice address

1250 Moore Lake Dr E Ste 205E
Fridley, MN 55432-5176

Phone

(612) 479-2085

NPI assigned

Sep 21, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ayanle AbdihooshNPI 1114788528

Title

Owner

Phone

(612) 479-2085

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayanle A Abdihoosh

  • Behavior Technician
  • Blaine, MN
  • NPI 1114788528
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1013688951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 MOORE LAKE DR E STE 205E",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 MOORE LAKE DR E STE 205E",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325176",
            "telephone_number": "612-479-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTLINE THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "ABDIHOOSH",
        "authorized_official_first_name": "AYANLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-479-2085"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afifa Muhamde Feyesso
• Hikima Muhamde Feyesso
• Caromyr Figueroa Silvestrini, MD
• Tara Finnesgard, ED.S, NCSP
• Lois Finney, RD, LD
• Katherine Jeane Fischer
• Frederick S Fish, M.D.
• Rosemary R Fister
• Joseph Flake, M.D.
• Janet Gay Flanagan, PA

• Clinic/Center in Fridley, MN
• Providers in Fridley, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.