Fatuma Dido Kotile

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

175599-8 Issued in MN

Practice address

3226 Hamlet Dr
Woodbury, MN 55125-2709

Phone

(651) 890-6055

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Golden Frontier Care Services Inc

  • Administrator Registered Nurse
  • Woodbury, MN
  • NPI 1174217590
  NPD Authorized official

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1164116596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 HAMLET DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252709",
            "telephone_number": "651-890-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 HAMLET DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252709",
            "telephone_number": "651-890-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTILE",
        "first_name": "FATUMA",
        "middle_name": "DIDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MN",
            "license": "175599-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald L Konkol, MD
• Jessica Leigh Starfield Koran, APRN, CNP
• Stephanie J Koslowski
• Casey Kotasek
• Dido G Kotile
• Guyo Kotile
• Lokho Kotile
• Chloe Kovach
• Mary B Kowitz, PT
• Laura N Kramer, DPT

• Administrator Registered Nurse in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Administrator Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.