Individual provider Active NPI

Khadija Omar Bashir

  • Emergency Registered Nurse
  • Saint Paul, MN
National Provider Identifier
1346162815
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
2488149 Issued in MN
Practice address
228 16TH Ave SW
Saint Paul, MN 55112-3319
Phone
(612) 707-4009
Fax
(612) 707-4009
NPI assigned
Jul 28, 2026
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 2488149 MN Primary

Addresses

Primary practice location

228 16TH Ave SW
Saint Paul, MN 55112-3319

Mailing address

228 16TH Ave SW
Saint Paul, MN 55112-3319

Other names 1

  • Khadija Omar Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1346162815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 16TH AVE SW",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551123319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 16TH AVE SW",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551123319",
            "telephone_number": "612-707-4009",
            "fax_number": "612-707-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR BASHIR",
        "first_name": "KHADIJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MN",
            "license": "2488149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHADIJA",
            "last_name": "OMAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.