Nimo Saleban Abdi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP 4835 Issued in MN

Practice address

10067 Gristmill RDG
Eden Prairie, MN 55347-4761

Phone

(612) 226-2747

Fax

(612) 465-4884

NPI assigned

Oct 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gargar Urgent Care and Clinic

  • Clinic/Center
  • Minneapolis, MN
  • NPI 1144523622
  Medicare reassignment NPD

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1114477858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10067 GRISTMILL RDG",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553474761",
            "telephone_number": "612-226-2747",
            "fax_number": "612-465-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10067 GRISTMILL RDG",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553474761",
            "telephone_number": "612-226-2747",
            "fax_number": "612-465-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDI",
        "first_name": "NIMO",
        "middle_name": "SALEBAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 4835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherry Joy Abary, D.O.
• Rayan Abawan
• Asad Abdi
• Kafe Ibrahim Abdi
• Mohamed Khalif Abdi
• Yasin Abdi
• Sawda Abdihakim Abdillahi
• Sadia Abdiqani
• Megan Abdirahman
• Abubakar Abdirashid, MENTAL HEALTH PRAC.

• Family Nurse Practitioner in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.