NPIMap

Organization Active NPI

Empower Spectrum Solutions LLC

  • Early Intervention Provider Agency
  • Moorhead, MN
National Provider Identifier
1396513222
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
EMPOWER SPECTRUM SOLUTIONS LLC
Practice address
850 44TH Ave S Apt 211
Moorhead, MN 56560-6782
Phone
(218) 790-9816
NPI assigned
Dec 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Abdirisaq Khalif Ibrahim
Title
Social Worker
Phone
(218) 790-9816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

850 44TH Ave S Apt 211
Moorhead, MN 56560-6782

Mailing address

850 44TH Ave S Apt 211
Moorhead, MN 56560-6782
Phone (218) 790-9816

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1396513222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 44TH AVE S APT 211",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606782",
            "telephone_number": "218-790-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 44TH AVE S APT 211",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565606782",
            "telephone_number": "218-790-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER SPECTRUM SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ABDIRISAQ",
        "authorized_official_middle_name": "KHALIF",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "218-790-9816"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.