Individual provider Active NPI

Marion Koozoyeah Gbatu

  • Home Health Registered Nurse
  • Plymouth, MN
National Provider Identifier
1124755285
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
2488946 Issued in MN
Practice address
9700 37TH PL N Apt 205
Plymouth, MN 55441-1842
Phone
(763) 245-7508
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 2488946 MN Primary

Addresses

Primary practice location

9700 37TH PL N Apt 205
Plymouth, MN 55441-1842

Mailing address

9700 37TH PL N Apt 205
Plymouth, MN 55441-1842
Phone (763) 245-7508

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SayaHomecare.com Direct

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

State licenses

LicenseStateTypeSpecialty
2488946MNMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Saya Helping Hands Health Care Home Health CurrentSince Aug 14, 2022 Accepting new patients

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1124755285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 37TH PL N APT 205",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411842",
            "telephone_number": "763-245-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 37TH PL N APT 205",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411842",
            "telephone_number": "763-245-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBATU",
        "first_name": "MARION",
        "middle_name": "KOOZOYEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2488946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SayaHomecare.com",
            "affiliation": "N",
            "endpointDescription": "Home Health care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "care database",
            "address_1": "9700 37th Pl N Apt 205205",
            "city": "Plymouth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554411881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.