Individual provider Active NPI

Rahma Sheikh-Dahir

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1609591809
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9063 Issued in MN
Practice address
1600 Broadway St NE # 250
Minneapolis, MN 55413-2617
Phone
(952) 303-5803
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9063 MN Primary

Addresses

Primary practice location

1600 Broadway St NE # 250
Minneapolis, MN 55413-2617

Mailing address

1600 Broadway St NE # 250
Minneapolis, MN 55413-2617
Phone (952) 303-5803

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000837 MN Practitioner - Nurse Practitioner 0345600771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Innovations IncGroup PAC ID 6204178528, 96 clinicians

Practice addresses (Care Compare)

5353 Wayzata Blvd
Suite 200
St Louis Park, MN 55416-1338
Phone (763) 421-5535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9063MNMDAssistive Technology Supplier Audiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Friends Healthcare Services, LLC Current Accepting new patients
Family Innovations, Inc. Psychiatric/Mental Health CurrentSince Jun 1, 2023 Accepting new patients
West Central Counseling LLC PastSince Jun 6, 2021 Accepting new patients

Locations

121 5th Ave W
Alexandria, MN 56308
Phone (320) 759-3096

1833 3rd Ave
Anoka, MN 55303
Phone (763) 421-5535

5353 Wayzata Blvd
Ste 200
St Louis Park, MN 55416
Phone (612) 281-5764

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.rahmasheikhdahir@149810.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1609591809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BROADWAY ST NE # 250",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132617",
            "telephone_number": "952-303-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BROADWAY ST NE # 250",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132617",
            "telephone_number": "952-303-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH-DAHIR",
        "first_name": "RAHMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.