Individual provider Active NPI

Margaret Bonareri Ombiro

  • Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1285234328
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2377100 Issued in MN
Practice address
3617 E Lake St Ste B
Minneapolis, MN 55406-2148
Phone
(952) 688-6568
NPI assigned
Oct 28, 2020
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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 2377100 MN Primary

Addresses

Primary practice location

3617 E Lake St Ste B
Minneapolis, MN 55406-2148

Mailing address

3617 E Lake St Ste B
Minneapolis, MN 55406-2148
Phone (952) 688-6568

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
2377100MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Qoraxey Home Health Care Inc CurrentSince Nov 1, 2020 Accepting new patients

Locations

3617 E Lake St
Ste B
Minneapolis, MN 55406
Phone (612) 216-2116

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1285234328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 E LAKE ST STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062148",
            "telephone_number": "952-688-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 E LAKE ST STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062148",
            "telephone_number": "952-688-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMBIRO",
        "first_name": "MARGARET",
        "middle_name": "BONARERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2377100",
            "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 Oct 28, 2020; 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.