Brightstep Wellness Center

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

BRIGHTSTEP WELLNESS CENTER

Practice address

1113 E Franklin Ave Ste 200B
Minneapolis, MN 55404-2977

Phone

(612) 545-7285

NPI assigned

Nov 10, 2020

Last updated

Oct 17, 2022By 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

Abdirahman Ahmed

Title

Employee

Phone

(612) 545-7285

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1447852843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E FRANKLIN AVE STE 200B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042977",
            "telephone_number": "612-545-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E FRANKLIN AVE STE 200B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042977",
            "telephone_number": "612-545-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSTEP WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "612-545-7285"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.