Individual provider Active NPI

Habiibo Gelle

  • Acupuncturist
  • New Brighton, MN
National Provider Identifier
1174065965
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
896496600024 Issued in MN
Practice address
2260 County Road E W # W
New Brighton, MN 55112-7141
Phone
(763) 447-5303
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 896496600024 MN Primary

Addresses

Primary practice location

2260 County Road E W # W
New Brighton, MN 55112-7141

Mailing address

2260 County Road E W # W
New Brighton, MN 55112-7141
Phone (763) 447-5303

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
896496600024MNMDDurable Medical Equipment & Medical Supplies

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1174065965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 COUNTY ROAD E W # W",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127141",
            "telephone_number": "763-447-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 COUNTY ROAD E W # W",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127141",
            "telephone_number": "763-447-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELLE",
        "first_name": "HABIIBO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "896496600024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.