Individual provider Active NPI

Ivan Sabin

  • Paramedic
  • Fort Snelling, MN
National Provider Identifier
1568343663
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
M5148838 Issued in MN
Practice address
1 Federal Dr Ste 1640
Attn: Ivan Sabin
Fort Snelling, MN 55111-2200
Phone
(612) 258-0132
NPI assigned
Sep 8, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X M5148838 MN Primary

Addresses

Primary practice location

1 Federal Dr Ste 1640
Attn: Ivan Sabin
Fort Snelling, MN 55111-2200

Mailing address

1 Federal Dr Ste 1640
Attn: Ivan Sabin
Fort Snelling, MN 55111-2200
Phone (612) 258-0132

Other identifiers 1

IdentifierTypeStateIssuer
517591OtherMNPARAMEDIC

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

State licenses

LicenseStateTypeSpecialty
M5148838MNMDParamedic

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1568343663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL DR STE 1640",
            "address_2": "ATTN: IVAN SABIN",
            "city": "FORT SNELLING",
            "state": "MN",
            "postal_code": "551112200",
            "telephone_number": "612-258-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FEDERAL DR STE 1640",
            "address_2": "ATTN: IVAN SABIN",
            "city": "FORT SNELLING",
            "state": "MN",
            "postal_code": "551112200",
            "telephone_number": "612-258-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABIN",
        "first_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MN",
            "license": "M5148838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMEDIC",
            "identifier": "517591",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Snelling, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.