Individual provider Active NPI

Rufina Dalmeida, RN

  • Home Health Registered Nurse
  • Fridley, MN
National Provider Identifier
1720394604
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
2466506 Issued in MN
Practice address
121 83Rd Ave NE Apt 2301
Fridley, MN 55432-1859
Phone
(763) 443-0640
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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 2466506 MN Primary

Addresses

Primary practice location

121 83Rd Ave NE Apt 2301
Fridley, MN 55432-1859

Mailing address

121 83Rd Ave NE Apt 301
Fridley, MN 55432-1888
Phone (763) 443-0640

Other identifiers 1

IdentifierTypeStateIssuer
348032OtherMNCLASS A PROFESSIONAL HOME HEALTH CARE AGENCY

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
2466506MNMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1720394604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 83RD AVE NE APT 301",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321888",
            "telephone_number": "763-443-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 83RD AVE NE APT 2301",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554321859",
            "telephone_number": "763-443-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALMEIDA",
        "first_name": "RUFINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "2466506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS A PROFESSIONAL HOME HEALTH CARE AGENCY",
            "identifier": "348032",
            "state": "MN"
        }
    ],
    "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 18, 2021; 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.