Individual provider Active NPI

Sadia Pauletta Kruah

  • Transportation Broker
  • Brooklyn Center, MN
National Provider Identifier
1386169316
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
License
Q467169839217 Issued in MN
Practice address
6756 Grimes PL North
Brooklyn Center, MN 55429
Phone
(763) 843-1040
NPI assigned
Aug 10, 2017
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
82-2391068MedicaidMN

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

LicenseStateTypeSpecialty
Q467169839217MNMDTransportation 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.

Verify at the official NPI Registry.