Solomon Anteneh Ambaw

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2324690 Issued in MN

Practice address

7940 Highland Dr
Lino Lakes, MN 55014-2453

Phone

(206) 371-8581

NPI assigned

May 29, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1356273908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 HIGHLAND DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550142453",
            "telephone_number": "206-371-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 HIGHLAND DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550142453",
            "telephone_number": "206-371-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBAW",
        "first_name": "SOLOMON",
        "middle_name": "ANTENEH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2324690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jodie Lee Anderson, PTA
• Anoka County Juvenile Center
• Stephanie L J Bailey, M.D.
• Shana Banas, SLP

• Registered Nurse in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.