Active NPI
Siham Abdikadir Ahmed
- Respite Care
- Minneapolis, MN
National Provider Identifier
1699478859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- License
- 1113198
- Practice address
- 2910 Pleasant Ave,
Minneapolis, MN 55408 - Phone
- (651) 354-0398
- NPI assigned
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 1113198 | ||
| Home Health Aide | 374U00000X | 1113198 | MN | |
| Homemaker | 376J00000X | 1113198 | MN | |
| Respite Care | 385H00000X | 1113198 | MN | Primary |
Addresses
Primary practice location
2910 Pleasant Ave,
Minneapolis, MN 55408
Mailing address
8570 Magnolia TRL Apt 209
Eden Prairie, MN 55344-7621
Phone (651) 354-0398
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1113198 | MN | MD | Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679616000000",
"number": "1699478859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8570 MAGNOLIA TRL APT 209",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447621",
"telephone_number": "651-354-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2910 PLEASANT AVE,",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55408",
"telephone_number": "651-354-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "SIHAM",
"middle_name": "ABDIKADIR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": "1113198",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MN",
"license": "1113198",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "MN",
"license": "1113198",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "MN",
"license": "1113198",
"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 Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.