Samira Awow Oliver

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2748 E 82ND St
Bloomington, MN 55425-1365

Phone

(952) 600-4009

Fax

(952) 600-4013

NPI assigned

Aug 28, 2023

Sex

Female

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

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.

• Wellness Early Development

  • Early Intervention Provider Agency
  • Bloomington, MN
  • NPI 1811769953
  NPD

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1134904212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 E 82ND ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251365",
            "telephone_number": "952-600-4009",
            "fax_number": "952-600-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 E 82ND ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251365",
            "telephone_number": "952-600-4009",
            "fax_number": "952-600-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "SAMIRA",
        "middle_name": "AWOW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oby Theresa Okoye
• Aderi Okumu
• Rahiu Okach Okwayoo
• Lee Olene, LICSW
• Mary Angel Olivares
• Bruce Allen Olmscheid, M.D.
• Brandy Olsen
• Anders Thomas Olson
• Andrew Jacob Olson, ATC
• Anisah Olson

• Behavior Technician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.