Active NPI
Abass Jafuneh, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Minnetonka, MN
National Provider Identifier
1386280493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 7084
- Practice address
- 9650 Waterstone PL Apt 308
Minnetonka, MN 55305-6506 - Phone
- (952) 239-4857
- NPI assigned
- Nov 24, 2019
- Last updated
- Nov 24, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 7084 | MN | Primary |
Addresses
Primary practice location
9650 Waterstone PL Apt 308
Minnetonka, MN 55305-6506
Mailing address
9650 Waterstone PL Apt 308
Minnetonka, MN 55305-6506
Phone (952) 239-4857
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 |
|---|---|---|---|
| 7084 | MN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574553600000",
"number": "1386280493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 WATERSTONE PL APT 308",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553056506",
"telephone_number": "952-239-4857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9650 WATERSTONE PL APT 308",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553056506",
"telephone_number": "952-239-4857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAFUNEH",
"first_name": "ABASS",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-24",
"last_updated": "2019-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "7084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.