Abdifatah Yusuf Warsame

Primary specialty

DriverTaxonomy code 172A00000X

License

H448000177616 Issued in MN

Practice address

14023 Virginia Ave
Savage, MN 55378

Phone

(612) 275-7602

NPI assigned

Aug 7, 2018

Last updated

Aug 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• A Trucare Residential Services LLC

  • Foster Care Agency
  • Savage, MN
  • NPI 1154919405
  NPD Authorized official
• Uplift Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Savage, MN
  • NPI 1790268472
  NPD Authorized official

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1619456084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14023 VIRGINIA AVE",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553786405",
            "telephone_number": "612-275-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14023 VIRGINIA AVE",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "55378",
            "telephone_number": "612-275-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSAME",
        "first_name": "ABDIFATAH",
        "middle_name": "YUSUF",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "C283025478013",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "H448000177616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jeanne Wacker
• Walgreen Co (Walgreens 11952)
• Walgreen Co (Walgreens #04879)
• Jaisa Ann Williams Wallerich, DC
• Stephen Warne
• Munira Warsame
• Lationa Washington
• Watkins Family Chiropractic PA
• Joshua Taij Watkins, D.C.
• Wellness Health LLC

• Driver in Savage, MN
• Providers in Savage, MN by specialty
• Driver in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.