Individual provider Active NPI

Duho Mohamud Warsame

  • Behavior Technician
  • Lakeville, MN
National Provider Identifier
1013799121
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
16345 Kenyon Ave Unit 3
Lakeville, MN 55044-8934
Phone
(612) 978-0431
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

16345 Kenyon Ave Unit 3
Lakeville, MN 55044-8934

Mailing address

16345 Kenyon Ave Unit 3
Lakeville, MN 55044-8934
Phone (612) 978-0431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Autism Care LLC CurrentSince Oct 22, 2023 Accepting new patients

Locations

16345 Kenyon Ave
Unit 3
Lakeville, MN 55044
Phone (612) 978-0431

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1013799121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16345 KENYON AVE UNIT 3",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448934",
            "telephone_number": "612-978-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16345 KENYON AVE UNIT 3",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448934",
            "telephone_number": "612-978-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSAME",
        "first_name": "DUHO",
        "middle_name": "MOHAMUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.