Individual provider Active NPI

Suaada Sheekh Abdiaziz, RN

  • Home Health Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1679929517
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R212102-6 Issued in MN
Practice address
1300 Godward St NE
6650
Minneapolis, MN 55413-1741
Phone
(612) 353-4669
Fax
(612) 354-2403
NPI assigned
May 10, 2016
Last updated
May 10, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X R212102-6 MN Primary

Addresses

Primary practice location

1300 Godward St NE
6650
Minneapolis, MN 55413-1741

Mailing address

1300 Godward St NE
6650
Minneapolis, MN 55413-1741
Phone (612) 353-4669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R212102-6MNMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Professional Services, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1679929517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 GODWARD ST NE",
            "address_2": "6650",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131741",
            "telephone_number": "612-353-4669",
            "fax_number": "612-354-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 GODWARD ST NE",
            "address_2": "6650",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131741",
            "telephone_number": "612-353-4669",
            "fax_number": "612-354-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDIAZIZ",
        "first_name": "SUAADA",
        "middle_name": "SHEEKH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R212102-6",
            "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 May 10, 2016; 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.