Individual provider Active NPI

Mohamed Wehelie

  • Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1386196392
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2260987 Issued in MN
Practice address
1433 E Franklin Ave Ste 1
Minneapolis, MN 55404-2101
Phone
(612) 294-1306
NPI assigned
Oct 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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 2260987 MN Primary

Addresses

Primary practice location

1433 E Franklin Ave Ste 1
Minneapolis, MN 55404-2101

Mailing address

1433 E Franklin Ave Ste 1
Minneapolis, MN 55404-2101
Phone (612) 294-1306

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
2260987MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1386196392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 E FRANKLIN AVE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042101",
            "telephone_number": "612-294-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 E FRANKLIN AVE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042101",
            "telephone_number": "612-294-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHELIE",
        "first_name": "MOHAMED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2260987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.