Individual provider Active NPI

Moraya Buenano, CHW

  • Community Health Worker
  • Brooklyn Park, MN
National Provider Identifier
1508664848
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
8617 Edinbrook Xing Apt 307
Brooklyn Park, MN 55443-4005
Phone
(612) 494-1718
NPI assigned
Mar 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X MN Primary

Addresses

Primary practice location

8617 Edinbrook Xing Apt 307
Brooklyn Park, MN 55443-4005

Mailing address

8617 Edinbrook Xing Apt 307
Brooklyn Park, MN 55443-4005
Phone (612) 494-1718

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

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1508664848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 EDINBROOK XING APT 307",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554434005",
            "telephone_number": "612-494-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8617 EDINBROOK XING APT 307",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554434005",
            "telephone_number": "612-494-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUENANO",
        "first_name": "MORAYA",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.