Active NPI
Alade Lateef Hamza, CNP
- Primary Care Nurse Practitioner
- Brooklyn Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 6995
- Practice address
- 4808 85TH Ave N Ste 300
Brooklyn Park, MN 55443-1816 - Phone
- (764) 377-8151
- NPI assigned
- Oct 14, 2019
- Last updated
- Jul 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 6995 | MN | Primary |
Addresses
Primary practice location
4808 85TH Ave N Ste 300
Brooklyn Park, MN 55443-1816
Mailing address
5210 102ND TRL N
Brooklyn Park, MN 55443-2293
Phone (763) 477-8151
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EHR |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Lilac Dr N
Suite 190
Golden Valley, MN 55422-4544
Phone (763) 267-8701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6995 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marciana Group | Current | Accepting new patients | |
| Matrix Medical Plus | Current | Accepting new patients | |
| Alnas Lodge LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| United Woundcare Institute Minnesota PLLC | Current | Accepting new patients | |
| Alnas Lodge LLC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702
1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610
1270 Northland Dr
Ste 250
Saint Paul, MN 55120
Phone (833) 642-0391
445 Minnesota St
Ste 1500
Saint Paul, MN 55101
Phone (612) 532-7105
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFDCCA/Endpoint/GFDCCA
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Assisted Living Facility (Behavioral Disturbances)
- Brooklyn Park, MN
- NPI 1457132318
-
- Assisted Living Facility (Behavioral Disturbances)
- Brooklyn Park, MN
- NPI 1982353157
-
- Assisted Living Facility (Behavioral Disturbances)
- Brooklyn Park, MN
- NPI 1952198889
-
- Psychiatric/Mental Health Nurse Practitioner
- Champlin, MN
- NPI 1215528344
-
- Multi-Specialty Clinic/Center
- Golden Valley, MN
- NPI 1992176499
-
- Hospitalist Physician
- Saint Paul, MN
- NPI 1851117832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1144862996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 102ND TRL N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554432293",
"telephone_number": "763-477-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4808 85TH AVE N STE 300",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554431816",
"telephone_number": "764-377-8151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMZA",
"first_name": "ALADE",
"middle_name": "LATEEF",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-14",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MN",
"license": "6995",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EHR",
"affiliation": "N",
"address_1": "4808 85th Ave N Ste 300",
"city": "Brooklyn Park",
"state": "MN",
"country_code": "US",
"postal_code": "554431816",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.