Nimo Muktar Hassan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12400 Whitewater Dr
Hopkins, MN 55343-8491

Phone

(952) 767-4200

Fax

(952) 767-4211

NPI assigned

May 27, 2025

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2025.

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1548053028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5860 BAKER RD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455903",
            "telephone_number": "952-767-4200",
            "fax_number": "952-767-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 WHITEWATER DR",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553438491",
            "telephone_number": "952-767-4200",
            "fax_number": "952-767-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "NIMO",
        "middle_name": "MUKTAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank David Harris, L.M.T.
• Matthew Patton Harris, DC
• Jacqueline Marie Harth, LP
• Abdiqadir Hassan
• Mohamed Yasir Mukhtar Hassan
• Austin Hatch, LADC
• Hatcher and Bomstad DDS LLC
• Alan Stuart Hatcher, DDS
• Julie Hauring, DC
• Hearing Care Specialists Inc

• All providers in Hopkins, MN
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.