Fatuma Hersi
Individual provider Active NPI Driver · Burnsville, MN
NPI 1356286397 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1356286397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 12700 Nicollet Ave Apt 109
Burnsville, MN 55337-3888 - Phone
- (515) 500-7053
- NPI assigned
- Apr 23, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
12700 Nicollet Ave Apt 109
Burnsville, MN 55337-3888
Mailing address
12700 Nicollet Ave
Burnsville, MN 55337-2882
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.