Active NPI
Julian Nakiwala, DNP, FNP-BC, BSN RN
- Family Nurse Practitioner
- Roseville, MN
National Provider Identifier
1467023010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 8050
- Practice address
- 2355 Highway 36 W
Roseville, MN 55113-3902 - Phone
- (763) 412-1993
- NPI assigned
- Jul 6, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8050 | MN | Primary |
Addresses
Primary practice location
2355 Highway 36 W
Roseville, MN 55113-3902
Mailing address
2008 E 121St St Apt 201
Burnsville, MN 55337-3052
Phone (612) 978-7612
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8050 | MN | MD | Family Nurse Practitioner |
Interoperability endpoints
- julian.nakiwala@811393367080964.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1467023010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 E 121ST ST APT 201",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553373052",
"telephone_number": "612-978-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 HIGHWAY 36 W",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133902",
"telephone_number": "763-412-1993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKIWALA",
"first_name": "JULIAN",
"credential": "DNP, FNP-BC, BSN RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-06",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "8050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.