Individual provider Active NPI

Fatuma Guhad, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Edina, MN
National Provider Identifier
1073256582
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9129 Issued in MN
Practice address
6600 France Ave S Ste 415
Edina, MN 55435-1804
Phone
(952) 303-6832
NPI assigned
Apr 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9129 MN Primary

Addresses

Primary practice location

6600 France Ave S Ste 415
Edina, MN 55435-1804

Mailing address

6600 France Ave S Ste 415
Edina, MN 55435-1804
Phone (952) 303-6832

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
I20240517001166 MN Practitioner - Nurse Practitioner 0446691729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Innovations IncGroup PAC ID 6204178528, 96 clinicians

Practice addresses (Care Compare)

3601 Minnesota Dr
Suite 170
Bloomington, MN 55435-5202
Phone (753) 421-5535

860 Blue Gentian Rd
Suite 200
Eagan, MN 55121-1567
Phone (612) 990-5029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9129MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Innovations, Inc. Psychiatric/Mental Health CurrentSince Jan 13, 2025 Accepting new patients
Blue Horn Behavioral Health LLC Psychiatric/Mental Health CurrentSince Feb 27, 2024 Accepting new patients
West Central Counseling LLC PastSince Jun 6, 2021 Accepting new patients

Locations

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

8400 Normandale Lake Blvd
Ste 920
Minneapolis, MN 55437
Phone (612) 735-4509

3601 Minnesota Dr
Ste 170
Minneapolis, MN 55435
Phone (612) 227-2111

860 Blue Gentian Rd
Ste 200
Saint Paul, MN 55121
Phone (612) 261-7454

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.fatumaguhad@149810.advancedmd-direct.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1073256582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351804",
            "telephone_number": "952-303-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 415",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351804",
            "telephone_number": "952-303-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUHAD",
        "first_name": "FATUMA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.