Organization Active NPI

Kimberly Persaud

  • Student in an Organized Health Care Education/Training Program
  • Minneapolis, MN
National Provider Identifier
1518624709
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
KIMBERLY PERSAUD
Practice address
225 S 6TH St Ste 9
Minneapolis, MN 55402-4643
Phone
(612) 977-5000
NPI assigned
Nov 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Authorized official

Name
Capella University 1053078444, MPA
Title
Kelly Brooks
Phone
(612) 977-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

225 S 6TH St Ste 9
Minneapolis, MN 55402-4643

Mailing address

723 Essex St PH
Brooklyn, NY 11208-4407
Phone (347) 600-9463

National Provider Directory

National Provider Directory

Locations

225 S 6th St
Ste 9
Minneapolis, MN 55402
Phone (612) 977-5000

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1518624709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 ESSEX ST PH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112084407",
            "telephone_number": "347-600-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S 6TH ST STE 9",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554024643",
            "telephone_number": "612-977-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY PERSAUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "1053078444",
        "authorized_official_first_name": "CAPELLA",
        "authorized_official_middle_name": "UNIVERSITY",
        "authorized_official_title_or_position": "KELLY BROOKS",
        "authorized_official_telephone_number": "612-977-5000",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.