Interpath Agency LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

INTERPATH AGENCY LLC

Practice address

2119 110TH LN NW
Coon Rapids, MN 55433-4173

Phone

(763) 291-8355

NPI assigned

Jul 26, 2023

Organization subpart

No

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

Authorized official

Name

Patrick OribamiseNPI 1720850795

Title

President

Phone

(763) 291-8355

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick Oribamise

  • Behavior Technician
  • Champlin, MN
  • NPI 1720850795
  NPD Authorized official

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1275214918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 110TH LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 110TH LN NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554334173",
            "telephone_number": "763-291-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERPATH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "ORIBAMISE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-291-8355"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allan Phillip Ingenito, M.D.
• Kaley Ingenito, PA-C
• Lenah Ingutia, DNP, FNP-BC
• Amanda J Ingvaldsen, CRNA
• Insightful Mental Health & Wellness, PLLC
• Shaz Iqbal, M.D.
• Kathleen Ireland, M.D
• Neal Irion, DT
• Nasro Abdinur Isaq, MD
• Mohamed Ali Ismail

• Early Intervention Provider Agency in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.