Ahmedo Kamal Mohammed, RESPIRATORY

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5015 Garland LN N Apt a
Plymouth, MN 55446-2466

Phone

(952) 297-7855

NPI assigned

Nov 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Level Autism Success LLC

  • Early Intervention Provider Agency
  • Plymouth, MN
  • NPI 1245979178
  NPD Authorized official

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1508631326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11178 ABLE ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554345505",
            "telephone_number": "952-297-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 GARLAND LN N APT A",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462466",
            "telephone_number": "952-297-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "AHMEDO",
        "middle_name": "KAMAL",
        "credential": "RESPIRATORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-21",
        "last_updated": "2023-11-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AhmedoMohammed",
            "affiliation": "N",
            "address_1": "5015 Garland Ln N Apt A",
            "city": "Plymouth",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554462466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jill Marie Moeller
• Sarah Joy Moen, PT, DPT
• Marian Ali Mohamed
• Ruweyda Mohamed
• Sumaya Mohamed
• Semira Mohammed, CRNA
• Mohib Incorporated
• Jeanne Mohler, M.D.
• Matthew Moldan, M.D.
• Katheryn Monahan

• Behavior Technician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.