Individual provider Active NPI

Noor Mohamed Sheikhaden, RN

  • Registered Nurse
  • Woodbury, MN
National Provider Identifier
1356086938
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2474830 Issued in MN
Practice address
4777 Stable View Dr
Woodbury, MN 55129-7581
Phone
(773) 996-3005
Fax
(612) 688-7880
NPI assigned
Apr 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2474830 MN Primary

Addresses

Primary practice location

4777 Stable View Dr
Woodbury, MN 55129-7581

Mailing address

4777 Stable View Dr
Woodbury, MN 55129-7581
Phone (773) 996-3005

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2474830MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1356086938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 STABLE VIEW DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551297581",
            "telephone_number": "773-996-3005",
            "fax_number": "612-688-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 STABLE VIEW DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551297581",
            "telephone_number": "773-996-3005",
            "fax_number": "612-688-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKHADEN",
        "first_name": "NOOR",
        "middle_name": "MOHAMED",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2474830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.