Active NPI
Matthew Jordan Harkema
- Student in an Organized Health Care Education/Training Program
- Brooklyn Park, MN
National Provider Identifier
1710740303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- NA
- Practice address
- 6800 78TH Ave N
Brooklyn Park, MN 55445-2758 - Phone
- (612) 924-1406
- NPI assigned
- Feb 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NA | MN | Primary |
Addresses
Primary practice location
6800 78TH Ave N
Brooklyn Park, MN 55445-2758
Mailing address
1335 Flag Ave S
St Louis Park, MN 55426-1821
Phone (612) 910-7560
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707091200000",
"number": "1710740303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 FLAG AVE S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261821",
"telephone_number": "612-910-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 78TH AVE N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452758",
"telephone_number": "612-924-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKEMA",
"first_name": "MATTHEW",
"middle_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-05",
"last_updated": "2024-02-05",
"certification_date": "2024-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MN",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
- Maria Jesusa Vestal Hanson, RN
- Samantha Michelle Fonkert Hanson, DDS
- Todd David Hanson, REGISTERED NURSE
- Sonya Hanuman, RPH
- Josef Kevin Hardwick, MDIV, MS, LMFT
- Harmony Adult Day Care Service LLC
- Harmony Group Home LLC
- Harmony Living Health Care Services
- Harra Home LLC
- Markayne Lacy Harris, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.