Lena A Idris

Primary specialty

Neonatal/Pediatric Registered Respiratory TherapistTaxonomy code 2279P3900X

License

4205 Issued in MN

Practice address

7524 W 101St St
Bloomington, MN 55438-2109

Phone

(612) 703-9474

NPI assigned

Oct 29, 2024

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

State licenses

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1154143428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 W 101ST ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382109",
            "telephone_number": "612-703-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 W 101ST ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382109",
            "telephone_number": "612-703-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDRIS",
        "first_name": "LENA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P3900X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
            "state": "MN",
            "license": "4205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Dahir Ibrahim
• Mohammed Arif Ibrahim, M.D.
• Sadik M Ibrahim
• Salma Suleman Ibrahim
• Sundus Hassan Ibrahim
• Chioma Ikechuwu
• Ilbnc, P.a.
• Ahmed Ilmi
• Abdinasir Iman
• Joann Osasumwen Imasuen

• Registered Respiratory Therapist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Registered Respiratory Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.