Active NPI
Mohamed Omarxeyd
- Home Health Registered Nurse
- Minneapolis, MN
National Provider Identifier
1215316575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 451793594
- Practice address
- 913 E Franklin Ave Ste 209
Minneapolis, MN 55404 - Phone
- (612) 462-2841
- NPI assigned
- May 20, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 451793594 | MN | Primary |
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
913 E Franklin Ave Ste 209
Minneapolis, MN 55404
Mailing address
913 E Franklin Ave Ste 209
Minneapolis, MN 55404-2918
Phone (612) 462-2841
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
| License | State | Type | Specialty |
|---|---|---|---|
| 451793594 | MN | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1215316575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 E FRANKLIN AVE STE 209",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554042918",
"telephone_number": "612-462-2841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 E FRANKLIN AVE STE 209",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55404",
"telephone_number": "612-462-2841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMARXEYD",
"first_name": "MOHAMED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-20",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MN",
"license": "451793594",
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"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 May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.