Fatou Jallow

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R 222578-6 Issued in MN

Practice address

3040 113TH Ave NW
Coon Rapids, MN 55433-3490

Phone

(612) 245-1561

NPI assigned

Jun 29, 2015

Last updated

Jun 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Empathy Home Care Inc

  • Home Health Agency
  • Coon Rapids, MN
  • NPI 1104209949
  NPD (past) Authorized official
• Empathy Home Care of Minnesota Inc

  • Home Health Agency
  • Minneapolis, MN
  • NPI 1770959116
  NPD (past) Authorized official

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1568844389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 113TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333490",
            "telephone_number": "612-245-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 113TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333490",
            "telephone_number": "612-245-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALLOW",
        "first_name": "FATOU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R 222578-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Lassi Jacobs, MD
• Sara Jacobson
• Haddy Jagne, BS, LADC. MSW.
• Aditya Jain, M.D., M.P.H.
• Laura Jakes-Warner
• Ayan Jama
• Hamsa Jama
• Conlith Anne Jamison, WHCNP
• Elwood Lansana Jangaba Jr.
• Beth Marie Janish, PTA

• Home Health Registered Nurse in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.