NPIMap

Organization Active NPI

Empower Skill Academy LLC

  • Clinic/Center
  • Fridley, MN
National Provider Identifier
1689305443
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EMPOWER SKILL ACADEMY LLC
Practice address
6260 Highway 65 NE Ste 303
Fridley, MN 55432-5150
Phone
(614) 218-3069
NPI assigned
Jun 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Abdullahi SharifNPI 1447941612
Title
Owner
Phone
(614) 218-3069

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6260 Highway 65 NE Ste 303
Fridley, MN 55432-5150

Mailing address

6260 Highway 65 NE Ste 303
Fridley, MN 55432-5150

National Provider Directory

National Provider Directory

Locations

6260 Highway 65 NE
Ste 303
Minneapolis, MN 55432
Phone (612) 402-1673

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1689305443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 HIGHWAY 65 NE STE 303",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 HIGHWAY 65 NE STE 303",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325150",
            "telephone_number": "614-218-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER SKILL ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-218-3069"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.