Lifespan Psychiatry and Wellness Limited Liability Limited Partnership

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LIFESPAN PSYCHIATRY AND WELLNESS LIMITED LIABILITY LIMITED PARTNERSHIP

Practice address

3800 American Blvd W Ste 1500
Bloomington, MN 55431-4429

Phone

(206) 250-7034

NPI assigned

May 19, 2025

Last updated

May 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fadumo I Omar, ARNPNPI 1164913893

Title

Co-Owner/Partner

Phone

(206) 250-7034

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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.

• Fadumo Ismael Omar, ARNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1164913893

  MN

  Medicare reassignment NPD Authorized official
• Khadra Mohamed, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
  • NPI 1104276070
  Medicare reassignment NPD

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1427840313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 AMERICAN BLVD W STE 1500",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314429",
            "telephone_number": "206-250-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 AMERICAN BLVD W STE 1500",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314429",
            "telephone_number": "206-250-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN PSYCHIATRY AND WELLNESS LIMITED LIABILITY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "FADUMO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CO-OWNER/PARTNER",
        "authorized_official_telephone_number": "206-250-7034",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lifespace Communities Inc (Friendship Village of Bloomington)
• Lifespace Communities Inc (Lifespace Personal Services)
• Lifeview Care Co, PLLC
• Lifeview Care Wisconsin S.C.
• Lifeview Care,PLLC
• Liftcarellc
• Michelle Ann Lighthart, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.