Assured Health LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

CNP0956 Issued in MN

Legal business name

ASSURED HEALTH LLC

Practice address

8421 W Broadway Ave
Brooklyn Park, MN 55445

Phone

(952) 212-0911

Fax

(651) 300-1956

NPI assigned

May 11, 2017

Last updated

Feb 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walter Ogetti Nyabere, CNPNPI 1467704528

Title

Provider

Phone

(952) 212-0911

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16780/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Ogetti Nyabere, NP

  • Nurse Practitioner
  • Brooklyn Park, MN
  • NPI 1467704528
  Authorized official Same address or phone

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1316473382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 W BROADWAY AVE",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452266",
            "telephone_number": "952-212-0911",
            "fax_number": "651-300-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 W BROADWAY AVE",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55445",
            "telephone_number": "952-212-0911",
            "fax_number": "651-300-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "NYABERE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "OGETTI",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "952-212-0911",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "CNP0956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.