Organization Active NPI

The Neighborhood NP LLC

  • Urgent Care Clinic/Center
  • Minneapolis, MN
National Provider Identifier
1396680773
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
THE NEIGHBORHOOD NP LLC
Practice address
4011 Colfax Ave N
Minneapolis, MN 55412-1729
Phone
(612) 438-4188
Fax
(612) 438-4188
NPI assigned
Apr 21, 2026
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Shareef Wali Omar Taylor, CNPNPI 1841004553
Title
Owner
Phone
(612) 438-4188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4011 Colfax Ave N
Minneapolis, MN 55412-1729

Mailing address

4011 Colfax Ave N
Minneapolis, MN 55412-1729
Phone (612) 438-4188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260624000986 MN Part B Supplier - Clinic/Group Practice 8921571761 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1396680773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 COLFAX AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121729",
            "telephone_number": "612-438-4188",
            "fax_number": "612-438-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 COLFAX AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121729",
            "telephone_number": "612-438-4188",
            "fax_number": "612-438-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEIGHBORHOOD NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "OMAR TAYLOR",
        "authorized_official_first_name": "SHAREEF",
        "authorized_official_middle_name": "WALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-438-4188",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "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 Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.