Active NPI
Mamusu Lamin
- Social Worker
- Sauk Rapids, MN
National Provider Identifier
1447748728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- Independent Life Styles, Inc
215 N. Benton Drive
Sauk Rapids, MN 56379 - Phone
- (320) 529-9000
- Fax
- (320) 529-0747
- NPI assigned
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
Independent Life Styles, Inc
215 N. Benton Drive
Sauk Rapids, MN 56379
Mailing address
Independent Life Styles, Inc
215 N. Benton Drive
Sauk Rapids, MN 56379
Phone (320) 529-9000
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Lifestyles, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Sauk Rapids, MN
- NPI 1144852732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1447748728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "INDEPENDENT LIFE STYLES, INC",
"address_2": "215 N. BENTON DRIVE",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "56379",
"telephone_number": "320-529-9000",
"fax_number": "320-529-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INDEPENDENT LIFE STYLES, INC",
"address_2": "215 N. BENTON DRIVE",
"city": "SAUK RAPIDS",
"state": "MN",
"postal_code": "56379",
"telephone_number": "320-529-9000",
"fax_number": "320-529-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMIN",
"first_name": "MAMUSU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-23",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sauk Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.