Iman Erika Kashmola-Perez, MS, LGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

1324 Issued in MN

Practice address

606 24TH Ave S FL 4
Minneapolis, MN 55454-1455

Phone

(612) 273-1609

NPI assigned

Mar 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Iman Erika Kashmola Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1639704794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14570 SHANNON PKWY APT 704",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684196",
            "telephone_number": "319-210-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 24TH AVE S FL 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541455",
            "telephone_number": "612-273-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHMOLA-PEREZ",
        "first_name": "IMAN",
        "middle_name": "ERIKA",
        "credential": "MS, LGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "MN",
            "license": "1324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IMAN",
            "last_name": "KASHMOLA",
            "middle_name": "ERIKA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kas Services
• Khushabu Kasabwala, MD
• Bolanle Aishat Kasali, MD
• Shelby Kasen, PA-C
• Khawaja M. Kashif, MD
• Clifford E Kashtan, MD
• Sumedha Kashyap, MBBS
• Bertram L Kasiske, MD
• Cameron Trammell Shamsi Kasmai, MD
• Kathryn Kasner, RD

• Genetic Counselor (M.S.) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Genetic Counselor (M.S.) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.