Jande Y Dadzie, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

CNP 3830 Issued in MN

Practice address

1 Veteran Drive
Minneapolis, MN 55417-0000

Phone

(612) 467-1100

NPI assigned

Jan 14, 2016

Last updated

May 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Yongor J Kaleewoun Former name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1710343157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VETERAN DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554170000",
            "telephone_number": "612-467-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERAN DRIVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554170000",
            "telephone_number": "612-467-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADZIE",
        "first_name": "JANDE",
        "middle_name": "Y",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "CNP 3830",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "CNP 3830",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "CNP 3830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YONGOR",
            "last_name": "KALEEWOUN",
            "middle_name": "J",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Selena Marie Dacosta, APRN, CNP
• Emily Dacquisto
• Abdullahi Dad
• Kadija Dadee
• Kelsey Ann Dadson, LICSW
• Dagan Wellness LLC (Lake Clinic)
• Imran Dagane
• Nancy Ellen Dager, MSW, LICSW
• Madison Jane Dagitz
• Dagmo Group Home LLC

• Primary Care Nurse Practitioner in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Primary Care Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.