Sia Jamila Sogbeh, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R-134523 Issued in MN

Practice address

8227 12TH Ave S
Bloomington, MN 55425-1709

Phone

(612) 245-1658

Fax

(651) 207-6841

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Minnesota Haven Homes

  • Assisted Living Facility
  • Bloomington, MN
  • NPI 1962624213
  NPD (past) Authorized official
• Minnesota Haven Homes, LLC

  • Skilled Nursing Facility
  • Bloomington, MN
  • NPI 1942404983
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407074446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 SAVANNA OAKS BAY UNIT G",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259553",
            "telephone_number": "612-245-1658",
            "fax_number": "651-207-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 12TH AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251709",
            "telephone_number": "612-245-1658",
            "fax_number": "651-207-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOGBEH",
        "first_name": "SIA",
        "middle_name": "JAMILA",
        "name_prefix": "Miss",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R-134523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Snyders Drug
• Snyders Drug Stores Inc
• Krista Marie Sodahl, PHARM. D.
• Erika Sodano
• Hsar Eh Plah Soe
• Hallie Sogin, PA
• Aster Solomon
• Rachel Solomon, DPT
• Somgen LLC
• Suzanne C Sorensen, RD, LD, CDE

• Registered Nurse in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.