Nasir Barkhadle

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

11278 Tyler St NE
Blaine, MN 55434-5504

Phone

(612) 759-4807

NPI assigned

Jun 20, 2025

Last updated

Jun 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1114814340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132700",
            "telephone_number": "612-759-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11278 TYLER ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554345504",
            "telephone_number": "612-759-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKHADLE",
        "first_name": "NASIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabil Baheza
• Genavieve Nicole Baklund, DC
• Mowlid Balayah, PHARMD
• Isatou Baldeh, RN, BSN, PHN
• Bashir Barkadle
• Cheryl Lynn Barnes
• Richard Henry Barr, DDS
• Arianna Renee Barrett-McDonald
• Caroline Barusya, M.D
• Kulle Basha

• Community/Behavioral Health Agency in Blaine, MN
• Providers in Blaine, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.