Mayshong Jalao, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R129812-5 Issued in MN

Practice address

713 E Minnehaha Ave
Suite 218
St Paul, MN 55106-4441

Phone

(651) 644-5355

Fax

(651) 644-1625

NPI assigned

Nov 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478217600000",
    "number": "1184166332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 E MINNEHAHA AVE",
            "address_2": "SUITE 218",
            "city": "ST PLAUL",
            "state": "MN",
            "postal_code": "551064441",
            "telephone_number": "651-644-5355",
            "fax_number": "651-644-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 E MINNEHAHA AVE",
            "address_2": "SUITE 218",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551064441",
            "telephone_number": "651-644-5355",
            "fax_number": "651-644-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALAO",
        "first_name": "MAYSHONG",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R129812-5",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R129812-5",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mardiya Kassim Jaffer
• Irshad H Jafri, MD
• Balkrishna N Jahagirdar, M.B.,B.S.
• William Robert Jahnke II, MD
• Lamin Jaiteh
• Akad J Jaleel
• Katie Shay Jalma, PH.D., L.P.
• Jalu Home Healthcare Services LLC
• Abdirizak M Jama
• Amal Jama

• All providers in St Paul, MN
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.