Individual provider Active NPI

Collins Maranga, RN

  • Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1386216927
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2271497 Issued in MN
Practice address
3340 Brookdale Dr N
Minneapolis, MN 55443-2863
Phone
(763) 280-3236
Fax
(888) 588-3166
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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 2271497 MN Primary

Addresses

Primary practice location

3340 Brookdale Dr N
Minneapolis, MN 55443-2863

Mailing address

25946 12TH St W
Zimmerman, MN 55398-8584
Phone (763) 232-3555

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2271497MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Uplifted Care Services LLC Current Accepting new patients
Uplifted Care Services LLC CurrentSince Jul 25, 2021 Accepting new patients
Uplifted Community Services LLC PastSince Dec 1, 2022 Accepting new patients

Locations

3340 Brookdale Dr N
Minneapolis, MN 55443
Phone (763) 280-3236

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1386216927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25946 12TH ST W",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553988584",
            "telephone_number": "763-232-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 BROOKDALE DR N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554432863",
            "telephone_number": "763-280-3236",
            "fax_number": "888-588-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANGA",
        "first_name": "COLLINS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2271497",
            "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 Jul 13, 2021; 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.