Active NPI
Ayan Guhad, NP
- Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1154676278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7662
- Practice address
- 621 W Lake St
Minneapolis, MN 55408-2949 - Phone
- (571) 206-1526
- NPI assigned
- Jul 14, 2012
- Last updated
- Sep 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7662 | MN | Primary |
| Family Nurse Practitioner | 363LF0000X | 0024177990 | VA |
Addresses
Primary practice location
621 W Lake St
Minneapolis, MN 55408-2949
Mailing address
621 W Lake St
Ste 350
Minneapolis, MN 55408-2952
Phone (202) 237-4223
Other practice location 1
2260 Glencoe Hills Dr
Apt 8
Ann Arbor, MI 48108-3074
Phone (651) 354-6428
Other practice location 2
43177 Katama Sq
Chantilly, VA 20152
Phone (202) 374-2233
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7662 | MN | MD | Physical Therapist |
| 0024177990 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1154676278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 W LAKE ST",
"address_2": "STE 350",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082952",
"telephone_number": "202-237-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W LAKE ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082949",
"telephone_number": "571-206-1526"
}
],
"practiceLocations": [
{
"address_1": "2260 Glencoe Hills Dr",
"address_2": "Apt 8",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481083074",
"country_code": "US",
"telephone_number": "651-354-6428",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "43177 Katama Sq",
"address_purpose": "LOCATION",
"city": "Chantilly",
"state": "VA",
"postal_code": "20152",
"country_code": "US",
"telephone_number": "202-374-2233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUHAD",
"first_name": "AYAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-14",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "7662",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024177990",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.