Jawaher Taher

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F07240065 Issued in MN

Practice address

161 Pottok LN
Shakopee, MN 55379-4710

Phone

(952) 393-2229

NPI assigned

Jul 17, 2024

Last updated

May 13, 2026By 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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Sama HealthcareGroup PAC ID 0143500272, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19405/brand/1/csg/1/fhir/r4
• Direct secure messaging: jawaher.taher.1@19405.direct.athenahealth.com

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.

• Sama Healthcare

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1376906388
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1225876956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 POTTOK LN",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794710",
            "telephone_number": "952-393-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 POTTOK LN",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553794710",
            "telephone_number": "952-393-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHER",
        "first_name": "JAWAHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "F07240065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvester Family Chiropractic, PC (Sylvester Family Chiropractic)
• Jesse Sylvester, D.C.
• Jessica Syvrud, PT, DPT
• Adebowale Oluwaseun Tade, DDS
• Abigia Samson Tadesse
• Sumie Tamang
• Maureen Tanis, LICSW
• Jake Tastad
• Katlyn Rose Taylor, MT-BC, NMT
• Dean Tebrake

• Family Nurse Practitioner in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.