Active NPI
Suad Mohamed Noor, FIRST YEAR COLLEGE
- Contractor
- Moorhead, MN
National Provider Identifier
1023339660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- P586112701519
- Practice address
- 1202 34TH Ave S Apt 104
Moorhead, MN 56560-5101 - Phone
- (218) 443-0844
- NPI assigned
- Jun 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | P586112701519 | MN | Primary |
Addresses
Primary practice location
1202 34TH Ave S Apt 104
Moorhead, MN 56560-5101
Mailing address
1202 34TH Ave S Apt 104
Moorhead, MN 56560-5101
Phone (218) 443-0844
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P586112701519 | MN | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1023339660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 34TH AVE S APT 104",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565605101",
"telephone_number": "218-443-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 34TH AVE S APT 104",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565605101",
"telephone_number": "218-443-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOOR",
"first_name": "SUAD",
"middle_name": "MOHAMED",
"name_prefix": "Miss",
"credential": "FIRST YEAR COLLEGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-17",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MN",
"license": "P586112701519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.