Active NPI
Muhim Ali Mohamed
- Day Training/Habilitation Specialist
- Saint Paul, MN
National Provider Identifier
1093582876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 425 Etna St Ste 36
Saint Paul, MN 55106-5847 - Phone
- (651) 797-4141
- Fax
- (651) 788-9444
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Primary |
Addresses
Primary practice location
425 Etna St Ste 36
Saint Paul, MN 55106-5847
Mailing address
425 Etna St Ste 36
Saint Paul, MN 55106-5847
Phone (651) 797-4141
Other names 1
- Muhim Ali Mohamed
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raising Stars Autism Center, Inc. | Current | Accepting new patients |
Locations
425 Etna St
Ste 36
Saint Paul, MN 55106
Phone (612) 601-3641
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.
-
- Early Intervention Provider Agency
- Saint Paul, MN
- NPI 1346881786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1093582876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ETNA ST STE 36",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551065847",
"telephone_number": "651-797-4141",
"fax_number": "651-788-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 ETNA ST STE 36",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551065847",
"telephone_number": "651-797-4141",
"fax_number": "651-788-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "MUHIM",
"middle_name": "ALI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MUHIM",
"last_name": "MOHAMED",
"middle_name": "ALI",
"credential": "PRACTITIONER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.