Individual provider Active NPI

Titi Taiwo

  • Family Nurse Practitioner
  • Lakeville, MN
National Provider Identifier
1033851209
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9087 Issued in MN
Practice address
5370 172ND Street West
Lakeville, MN 55024-7325
Phone
(612) 386-2372
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9087 MN Primary

Addresses

Primary practice location

5370 172ND Street West
Lakeville, MN 55024-7325

Mailing address

5370 172ND Street West
Lakeville, MN 55024-7325
Phone (612) 386-2372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016000744 MN Practitioner - Nurse Practitioner 1153776877 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9087MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Nov 1, 2023 Accepting new patients
University of Minnesota Health Clinics and Surgery Center, Inc. Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Nov 1, 2023 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Health Services CurrentSince Nov 1, 2023 Accepting new patients
Fairview Express Care CurrentSince Nov 1, 2023 Accepting new patients
Fairview Express Care CurrentSince Nov 1, 2023 Accepting new patients
Healtheast Medical Research Institute CurrentSince Nov 1, 2023 Accepting new patients
University of Minnesota Physicians CurrentSince Nov 1, 2023 Accepting new patients
University of Minnesota Health Clinics and Surgery Center Inc CurrentSince Nov 1, 2023 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Matrix Medical Plus CurrentSince Sep 2, 2023 Accepting new patients
Fairview Clinics CurrentSince Nov 1, 2023 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Health Services CurrentSince Nov 1, 2023 Accepting new patients
University of Minnesota Physicians CurrentSince Nov 1, 2023 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

14104 Fairview Dr Ste 300
Burnsville, MN 55337

303 E Nicollet Blvd
Ste 160
Burnsville, MN 55337
Phone (952) 460-4000

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

10961 Club West Pkwy
Ste 200
Minneapolis, MN 55449
Phone (763) 528-2922

516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Interoperability endpoints

  • Direct secure messaging: ttaiwo200141@fairview.direct-ci.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1033851209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 172ND STREET WEST",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550247325",
            "telephone_number": "612-386-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 172ND STREET WEST",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550247325",
            "telephone_number": "612-386-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIWO",
        "first_name": "TITI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.