Individual provider Active NPI

Alade Lateef Hamza, CNP

  • Primary Care Nurse Practitioner
  • Brooklyn Park, MN
National Provider Identifier
1144862996
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
6995 Issued in MN
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223001758 MN Practitioner - Nurse Practitioner 6305251471 Reassigns benefits to 2 organizations

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
Twin Cities Physicians Professional CorporationGroup PAC ID 9830499763, 66 clinicians

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

LicenseStateTypeSpecialty
6995MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marciana Group CurrentSince May 19, 2025 Accepting new patients
Matrix Medical Plus CurrentSince Jun 1, 2023 Accepting new patients
Alnas Lodge LLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 5, 2022 Accepting new patients
United Woundcare Institute Minnesota PLLC CurrentSince Nov 3, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.