Active NPI
Zandu Health Initiative
- Student Health Clinic/Center
- Bloomington, MN
National Provider Identifier
1508302027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- Legal business name
- ZANDU HEALTH INITIATIVE
- Practice address
- 10800 Lyndale Ave S
Bloomington, MN 55420-5614 - Phone
- (952) 208-5590
- Fax
- (612) 446-5500
- NPI assigned
- Jan 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steve Mandieka
- Title
- Program Director
- Phone
- (952) 479-0172
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | |||
| Clinic/Center | 261Q00000X | |||
| Student Health Clinic/Center | 261QS1000X | Primary |
Addresses
Primary practice location
10800 Lyndale Ave S
Bloomington, MN 55420-5614
Mailing address
10800 Lyndale Ave S
Bloomington, MN 55420-5614
Phone (952) 479-0172
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bloomington, MN
- NPI 1700229028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1508302027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 LYNDALE AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554205614",
"telephone_number": "952-479-0172",
"fax_number": "952-516-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 LYNDALE AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554205614",
"telephone_number": "952-208-5590",
"fax_number": "612-446-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZANDU HEALTH INITIATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-08",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "MANDIEKA",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "952-479-0172",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.