Individual provider Active NPI

Muhim Ali Mohamed

  • Day Training/Habilitation Specialist
  • Saint Paul, MN
National Provider Identifier
1093582876
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
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

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other 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

Practice roles

OrganizationSpecialtyStatusNew patients
Raising Stars Autism Center, Inc. CurrentSince Dec 17, 2023 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.

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.

Verify at the official NPI Registry.