Organization Active NPI

Healingmed Clinic LLC

  • Multi-Specialty Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1649035213
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HEALINGMED CLINIC LLC
Practice address
1821 University Ave W Ste 107-12
Saint Paul, MN 55104-0049
Phone
(952) 607-0217
NPI assigned
Feb 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Noussaiba Ayour, PA-C
Title
Founder
Phone
(952) 607-0217

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Clinic/Center 261QP2300X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

1821 University Ave W Ste 107-12
Saint Paul, MN 55104-0049

Mailing address

14369 Fairway Dr
Eden Prairie, MN 55344-1956
Phone (952) 607-0217

Other practice location 1

2921 Landmark Pl Ste 215
Madison, WI 53713-4248
Phone (952) 607-0217

Other practice location 2

14369 Fairway Dr
Eden Prairie, MN 55344-1956
Phone (952) 607-0217

Other practice location 3

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone (952) 607-0217

Other names 2

  • HealingMed Clinic Doing business as
  • Noussaiba Ayour PA-C LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

2921 Landmark Pl
Ste 215
Madison, WI 53713
Phone (608) 301-5212

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1649035213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14369 FAIRWAY DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441956",
            "telephone_number": "952-607-0217",
            "fax_number": "800-398-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 107-12",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551040049",
            "telephone_number": "952-607-0217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2921 Landmark Pl Ste 215",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537134248",
            "country_code": "US",
            "telephone_number": "952-607-0217",
            "fax_number": "800-398-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14369 Fairway Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553441956",
            "country_code": "US",
            "telephone_number": "952-607-0217",
            "fax_number": "800-398-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "952-607-0217",
            "fax_number": "800-398-8041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALINGMED CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "AYOUR",
        "authorized_official_first_name": "NOUSSAIBA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "952-607-0217",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealingMed Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealingMed Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Noussaiba Ayour PA-C LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.