Ikran Abdikadir Mohamed

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1315 E Lake St Ste 1
Minneapolis, MN 55407-1629

Phone

(612) 298-2169

NPI assigned

Apr 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abc Autism Center LLC

  • Early Intervention Provider Agency
  • Minneapolis, MN
  • NPI 1326703661
  NPD

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1720775729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 E LAKE ST STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 E LAKE ST STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071629",
            "telephone_number": "612-298-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "IKRAN",
        "middle_name": "ABDIKADIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hani Mohamed
• Hayat Daud Mohamed
• Hibaq I Mohamed, DDS
• Ifrah Yusuf Mohamed
• Ikra Mohamed Mohamed
• Ikran Ahmed Mohamed
• Ilhan Yahye Mohamed
• Iqlas Mohamed
• Ismahan Mohamed
• Ismahan Mohamed

• All providers in Minneapolis, MN
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.