Shifa Medical Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SHIFA MEDICAL CLINIC

Practice address

200 W Lake St Ste 402
Minneapolis, MN 55408-3023

Phone

(612) 351-7421

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohamed Omar

Title

Medical Director

Phone

(612) 351-7421

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1568160620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14264 IRVING AVE S APT 163",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W LAKE ST STE 402",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083023",
            "telephone_number": "612-351-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "612-351-7421"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June J Shields, DNP, APRN, PMHNP-BC
• Lisa Renee Shields, APNP-BC; GNP; MAN;
• Mollie Anne Shields, LGSW
• Hannah Danielle Shier
• Shifa Home Healthcare, Inc.
• Shifa Pharmacy LLC
• Shifa Transportation
• Ahmed Shiikh-Ahmed
• Aisha Shiikh-Ahmed
• Asiya Abdulah Shiikh-Ahmed

• Family Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.