Individual provider Active NPI

Lambert Kiggen Kubei

  • Home Health Aide
  • Maplewood, MN
National Provider Identifier
1467921577
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
1095964-1-HCBS Issued in MN
Practice address
89 Century Ave N Apt 325
Maplewood, MN 55119-4772
Phone
(651) 239-2061
NPI assigned
Nov 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 1095964-1-HCBS MN Primary

Addresses

Primary practice location

89 Century Ave N Apt 325
Maplewood, MN 55119-4772

Mailing address

89 Century Ave N Apt 325
Maplewood, MN 55119-4772
Phone (651) 239-2061

Other identifiers 2

IdentifierTypeStateIssuer
82-2995558MedicaidMN
5743593MedicaidMN

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

State licenses

LicenseStateTypeSpecialty
1095964-1-HCBSMNMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1467921577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 CENTURY AVE N APT 325",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551194772",
            "telephone_number": "651-239-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CENTURY AVE N APT 325",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551194772",
            "telephone_number": "651-239-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBEI",
        "first_name": "LAMBERT",
        "middle_name": "KIGGEN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "1095964-1-HCBS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82-2995558",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5743593",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

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

Verify at the official NPI Registry.