Organization Active NPI

Nomad Health Services LLC

  • Clinic/Center
  • Burnsville, MN
National Provider Identifier
1679165401
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NOMAD HEALTH SERVICES LLC
Practice address
13755 Nicollet Ave Ste 102
Burnsville, MN 55337-4471
Phone
(612) 226-9718
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Authorized official

Name
Jamal Hussein
Title
Owner
Phone
(612) 226-9718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

13755 Nicollet Ave Ste 102
Burnsville, MN 55337-4471

Mailing address

13755 Nicollet Ave Ste 102
Burnsville, MN 55337-4471

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL shakul1978@gmail.com

National Provider Directory

National Provider Directory

Locations

13755 Nicollet Ave
Ste 102
Burnsville, MN 55337
Phone (612) 226-9718

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1679165401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13755 NICOLLET AVE STE 102",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13755 NICOLLET AVE STE 102",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374471",
            "telephone_number": "612-226-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMAD HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-226-9718"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "shakul1978@gmail.com",
            "affiliation": "N",
            "address_1": "13755 Nicollet Ave Ste 102",
            "city": "Burnsville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553374471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.