Active NPI
Sadia Pauletta Kruah
- Transportation Broker
- Brooklyn Center, MN
National Provider Identifier
1386169316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- Q467169839217
- Practice address
- 6756 Grimes PL North
Brooklyn Center, MN 55429 - Phone
- (763) 843-1040
- NPI assigned
- Aug 10, 2017
- Last updated
- Sep 29, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | Q467169839217 | MN | Primary |
Addresses
Primary practice location
6756 Grimes PL North
Brooklyn Center, MN 55429
Mailing address
6756 Grimes PL N
Brooklyn Center, MN 55429-1747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-2391068 | Medicaid | MN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q467169839217 | MN | MD | Transportation Broker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1386169316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6756 GRIMES PL N",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554291747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6756 GRIMES PL NORTH",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "55429",
"telephone_number": "763-843-1040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUAH",
"first_name": "SADIA",
"middle_name": "PAULETTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-10",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "MN",
"license": "Q467169839217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82-2391068",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.