Individual provider Active NPI

Rawdah Mazen Almadani

  • Registered Nurse
  • Woodbury, MN
National Provider Identifier
1417723446
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2521333 Issued in MN
Practice address
3666 Commonwealth Rd
Woodbury, MN 55125-4319
Phone
(651) 815-7195
NPI assigned
Nov 30, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2521333 MN Primary

Addresses

Primary practice location

3666 Commonwealth Rd
Woodbury, MN 55125-4319

Mailing address

3666 Commonwealth Rd
Woodbury, MN 55125-4319
Phone (651) 815-7195

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

LicenseStateTypeSpecialty
2521333MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1417723446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3666 COMMONWEALTH RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254319",
            "telephone_number": "651-815-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3666 COMMONWEALTH RD",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254319",
            "telephone_number": "651-815-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMADANI",
        "first_name": "RAWDAH",
        "middle_name": "MAZEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2521333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, 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.