Organization Active NPI

Bright Beginnings Autism Center

  • Early Intervention Provider Agency
  • Minneapolis, MN
National Provider Identifier
1639934276
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BRIGHT BEGINNINGS AUTISM CENTER
Practice address
1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885
Phone
(612) 814-2343
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Fatumo ShafiNPI 1649884032
Title
Owner
Phone
(612) 814-2343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885

Mailing address

1330 Lagoon Ave FL 4
Minneapolis, MN 55408-2885
Phone (612) 814-2343

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1639934276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 LAGOON AVE FL 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082885",
            "telephone_number": "612-814-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 LAGOON AVE FL 4",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082885",
            "telephone_number": "612-814-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT BEGINNINGS AUTISM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "FATUMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-814-2343"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.