Active NPI
Zadok Nampala
- Social Worker
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 27266
- Practice address
- 1313 Penn Ave N
Minneapolis, MN 55411-3047 - Phone
- (612) 543-2614
- NPI assigned
- Apr 9, 2019
- Last updated
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 27266 | MN | Primary |
Addresses
Primary practice location
1313 Penn Ave N
Minneapolis, MN 55411-3047
Mailing address
1313 Penn Avenue North
Minneapolis, MN 55411-3047
Phone (612) 543-2614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T781992 | Other | MN | CAR SEAT CERTIFICATION LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
409 Dunlap St N
Saint Paul, MN 55104-4201
Phone (651) 290-9211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27266 | MN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin County | Current | Accepting new patients | |
| Open Cities Health Center, Inc. | Current | Accepting new patients | |
| Open Cities Health Center, Inc. | Current | Accepting new patients | |
| Open Cities Health Center, Inc. | Current | Accepting new patients | |
| Yourtime Therapeutic Services | Current | Accepting new patients | |
| Hennepin County | Current | Accepting new patients | |
| Hennepin County | Current | Accepting new patients |
Locations
1313 Penn Ave N
Minneapolis, MN 55411
Phone (612) 302-4600
409 Dunlap St N
Saint Paul, MN 55104
Phone (651) 290-9200
916 Rice St
Saint Paul, MN 55117
Phone (651) 251-5993
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IDHIBD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1225101405
-
dba Hennepin County Mental Health Center
- Psychiatry Physician
- Minneapolis, MN
- NPI 1780790345
-
- Clinical Social Worker
- Minneapolis, MN
- NPI 1629703673
-
dba NorthPoint Health & Wellness Center- Main Clinic
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1215951751
-
dba Endeavors
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1962147413
-
dba Open Cities Health Center, Inc. - Northend
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1376769778
-
- Federally Qualified Health Center (FQHC)
- Saint Paul, MN
- NPI 1538037619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1548723364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 PENN AVENUE NORTH",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554113047",
"telephone_number": "612-543-2614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 PENN AVE N",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554113047",
"telephone_number": "612-543-2614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMPALA",
"first_name": "ZADOK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MN",
"license": "27266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAR SEAT CERTIFICATION LICENSE",
"identifier": "T781992",
"state": "MN"
}
],
"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 Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.