Sia Dean, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1660517 Issued in MN

Practice address

9119 Regent Pkwy
Brooklyn Park, MN 55443-1660

Phone

(763) 888-6328

NPI assigned

Nov 20, 2024

Last updated

Nov 20, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1306661855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 REGENT PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431660",
            "telephone_number": "763-442-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 REGENT PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431660",
            "telephone_number": "763-888-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "SIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1660517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Hong Dao, APRN, CNP
• Monia Davies
• Lindsey Dawes, DNP, APRN, FNP-C
• Olujimi Mobolaji Dawodu
• Isaac-Moise Ayaovi Mawunyo De Saba, LPC
• Delight Home Healthcare, LLC
• Russell S Derhak, D.C.
• Suzanne E Derheim, LMFT
• Desnol Healthcare Services
• Desvito Inc (There's No Place Like Home Health Care)

• Registered Nurse in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.