Active NPI
Treasure T Takang-Enow, RN
- Psychiatric/Mental Health Nurse Practitioner
- Maple Grove, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11144
- Practice address
- 13603 80TH Cir N
Maple Grove, MN 55369-8961 - Phone
- (832) 497-7119
- NPI assigned
- Oct 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 833234 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11144 | MN | Primary |
Addresses
Primary practice location
13603 80TH Cir N
Maple Grove, MN 55369-8961
Mailing address
13603 80TH Cir N
Maple Grove, MN 55369-8961
Phone (832) 497-7119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146819 | Medicaid | TX |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1900 Silver Lake Rd NW
New Brighton, MN 55112-1786
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 833234 | TX | MD | General Practice Registered Nurse |
| 11144 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Support Services Inc. | Current | Accepting new patients | |
| Nystrom & Associates, LTD | Current | Accepting new patients |
Locations
207 Jefferson Blvd
Big Lake, MN 55309
Phone (763) 367-6080
13603 80th Cir N
Maple Grove, MN 55369
Phone (763) 274-3120
1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718
1900 Silver Lake Rd NW
Saint Paul, MN 55112
Phone (651) 379-1704
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- New Brighton, MN
- NPI 1396750188
-
- Mental Health Counselor
- New Brighton, MN
- NPI 1467549220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1336544022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13603 80TH CIR N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553698961",
"telephone_number": "832-497-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13603 80TH CIR N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553698961",
"telephone_number": "832-497-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKANG-ENOW",
"first_name": "TREASURE",
"middle_name": "T",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "TX",
"license": "833234",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "11144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146819",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.
- 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.