Organization Active NPI

Wholemind Wellness and Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakeville, MN
National Provider Identifier
1467308304
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WHOLEMIND WELLNESS AND PSYCHIATRY
Practice address
20731 Holyoke Ave
Lakeville, MN 55044-9825
Phone
(507) 319-2879
NPI assigned
Mar 4, 2026
Last updated
Mar 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Authorized official

Name
Fadumo H Hersi, DNP/APRNNPI 1356053292
Title
Mental Health Nurse Practtioner
Phone
(507) 319-2879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary
Women's Health Nurse Practitioner 363LW0102X NU

Addresses

Primary practice location

20731 Holyoke Ave
Lakeville, MN 55044-9825

Mailing address

20731 Holyoke Ave
Lakeville, MN 55044-9825
Phone (507) 319-2879

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1467308304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20731 HOLYOKE AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449825",
            "telephone_number": "507-319-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20731 HOLYOKE AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449825",
            "telephone_number": "507-319-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLEMIND WELLNESS AND PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "HERSI",
        "authorized_official_first_name": "FADUMO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MENTAL HEALTH NURSE PRACTTIONER",
        "authorized_official_telephone_number": "507-319-2879",
        "authorized_official_credential": "DNP/APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.