Individual provider Active NPI

Arazu Kian, DNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1407617137
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
10972 Issued in MN
Practice address
1200 Lagoon Ave
Minneapolis, MN 55408-2077
Phone
(651) 696-5674
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 10972 MN Primary

Addresses

Primary practice location

1200 Lagoon Ave
Minneapolis, MN 55408-2077

Mailing address

3817 Beard Ave S
Minneapolis, MN 55410-1040
Phone (612) 483-6819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130001134 MN Practitioner - Nurse Practitioner 1456880848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10972MNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Jan 23, 2025 Accepting new patients
Minnesota Vitality and Anti-Aging Center Women'S Health PastSince Jul 17, 2021 Accepting new patients
Aimee Neumann Health and Wellness, LLC Women'S Health PastSince Jul 23, 2023 Accepting new patients

Locations

1200 Lagoon Ave
Minneapolis, MN 55408
Phone (612) 823-6300

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1407617137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 BEARD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101040",
            "telephone_number": "612-483-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAGOON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082077",
            "telephone_number": "651-696-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIAN",
        "first_name": "ARAZU",
        "credential": "DNP, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "10972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.