Individual provider Active NPI

Tigist Osman Obse, NONMEDICAL TRANSPORT

  • Driver
  • Rosemount, MN
National Provider Identifier
1518689751
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
13919 Ashford Path
Rosemount, MN 55068-3923
Phone
(952) 484-2484
Fax
(952) 885-6925
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193400000X SINGLE SPECIALTY GROUP 172A00000X Primary

Addresses

Primary practice location

13919 Ashford Path
Rosemount, MN 55068-3923

Mailing address

1208 142ND St E
Rosemount, MN 55068-2476
Phone (952) 484-2484

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1518689751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 142ND ST E",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550682476",
            "telephone_number": "952-484-2484",
            "fax_number": "952-885-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13919 ASHFORD PATH",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550683923",
            "telephone_number": "952-484-2484",
            "fax_number": "952-885-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBSE",
        "first_name": "TIGIST",
        "middle_name": "OSMAN",
        "credential": "NONMEDICAL TRANSPORT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemount, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.