Individual provider Active NPI

Ahmed Abdikarim Nur

  • Behavior Technician
  • Roseville, MN
National Provider Identifier
1578385357
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2361 Highway 36 W
Roseville, MN 55113-3909
Phone
(651) 888-6695
Fax
(952) 487-3216
NPI assigned
Oct 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2361 Highway 36 W
Roseville, MN 55113-3909

Mailing address

2361 Highway 36 W
Roseville, MN 55113-3909
Phone (651) 888-6695

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

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1578385357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 HIGHWAY 36 W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133909",
            "telephone_number": "651-888-6695",
            "fax_number": "952-487-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 HIGHWAY 36 W",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133909",
            "telephone_number": "651-888-6695",
            "fax_number": "952-487-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUR",
        "first_name": "AHMED",
        "middle_name": "ABDIKARIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.