Individual provider Active NPI

Amanda Chinyere Emele, RN, BSN, MSN, PHN

  • Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1255125779
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2478659 Issued in MN
Practice address
953 N 7TH St Apt 202
Minneapolis, MN 55411-4321
Phone
(763) 843-9177
Fax
(612) 377-4449
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2478659 MN Primary

Addresses

Primary practice location

953 N 7TH St Apt 202
Minneapolis, MN 55411-4321

Mailing address

953 N 7TH St Apt 202
Minneapolis, MN 55411-4321
Phone (763) 843-9177

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
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2478659MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Raccie Healthcare Services LLC CurrentSince Apr 13, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1255125779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 N 7TH ST APT 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554114321",
            "telephone_number": "763-843-9177",
            "fax_number": "612-377-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 N 7TH ST APT 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554114321",
            "telephone_number": "763-843-9177",
            "fax_number": "612-377-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMELE",
        "first_name": "AMANDA",
        "middle_name": "CHINYERE",
        "credential": "RN, BSN, MSN, PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2478659",
            "primary": true
        }
    ],
    "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 Apr 8, 2025; 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.