Individual provider Active NPI

Sifen M Ali

  • Transplantation Clinical Nurse Specialist
  • Blaine, MN
National Provider Identifier
1194591909
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplantation Clinical Nurse SpecialistTaxonomy code 364ST0500X
License
1386376600028 Issued in MN
Practice address
12664 Central Ave NE Apt 215
Blaine, MN 55434-4814
Phone
(612) 814-1085
NPI assigned
Dec 1, 2023
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplantation Clinical Nurse Specialist 364ST0500X 1386376600028 MN Primary

Addresses

Primary practice location

12664 Central Ave NE Apt 215
Blaine, MN 55434-4814

Mailing address

12664 Central Ave NE Apt 215
Blaine, MN 55434-4814
Phone (612) 814-1085

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://mnstartransport.info/ Direct

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
1386376600028MNMDTransplantation Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1194591909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12664 CENTRAL AVE NE APT 215",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344814",
            "telephone_number": "612-814-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12664 CENTRAL AVE NE APT 215",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344814",
            "telephone_number": "612-814-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALI",
        "first_name": "SIFEN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364ST0500X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Transplantation",
            "state": "MN",
            "license": "1386376600028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://mnstartransport.info/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mnst@mnstartransport.info",
            "address_1": "12664 Central Ave NE Apt 215",
            "city": "Blaine",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554344814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.