Active NPI
Naiyroui Zargarian
- Nurse Practitioner
- Apple Valley, MN
National Provider Identifier
1316021769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 571014-1
- Practice address
- 15350 Cedar Ave
Apple Valley, MN 55124 - Phone
- (952) 212-4376
- NPI assigned
- Oct 24, 2006
- Last updated
- May 4, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 571014-1 | MN | Primary |
Addresses
Primary practice location
15350 Cedar Ave
Apple Valley, MN 55124
Mailing address
10924 Oxborough Ave S
Bloomington, MN 55437-3036
Phone (952) 212-4376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040520001039 | MN | Practitioner - Nurse Practitioner | 1759372584 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 571014-1 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1316021769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10924 OXBOROUGH AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554373036",
"telephone_number": "952-212-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15350 CEDAR AVE",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "55124",
"telephone_number": "952-212-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARGARIAN",
"first_name": "NAIYROUI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "571014-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.