Individual provider Active NPI

Gwenda Fame Alarca Fojas

  • Occupational Therapy Assistant
  • Richfield, MN
National Provider Identifier
1245716752
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
202361 Issued in MN
Practice address
7727 Portland Ave
Richfield, MN 55423-4320
Phone
(651) 955-6675
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 202361 MN Primary

Addresses

Primary practice location

7727 Portland Ave
Richfield, MN 55423-4320

Mailing address

1265 Marschall Rd Apt 229
Shakopee, MN 55379-2883
Phone (312) 477-6817

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
202361MNMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1245716752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 MARSCHALL RD APT 229",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553792883",
            "telephone_number": "312-477-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7727 PORTLAND AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234320",
            "telephone_number": "651-955-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOJAS",
        "first_name": "GWENDA",
        "middle_name": "FAME ALARCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.