Individual provider Active NPI

Zoreena Baksh, RN

  • Registered Nurse
  • Plymouth, MN
National Provider Identifier
1073236691
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2372875 Issued in MN
Practice address
10630 Rockford Rd Apt 301
Plymouth, MN 55442-2863
Phone
(612) 545-7840
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2372875 MN Primary

Addresses

Primary practice location

10630 Rockford Rd Apt 301
Plymouth, MN 55442-2863

Mailing address

10630 Rockford Rd Apt 301
Plymouth, MN 55442-2863
Phone (612) 545-7840

Other names 1

  • Zoreena Baksh Professional name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2372875MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1073236691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 ROCKFORD RD APT 301",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422863",
            "telephone_number": "612-545-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 ROCKFORD RD APT 301",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422863",
            "telephone_number": "612-545-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKSH",
        "first_name": "ZOREENA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2372875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZOREENA",
            "last_name": "BAKSH",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.