Elijah Machogu Mabururu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10248 Issued in MN

Practice address

7601 36TH Ave N
New Hope, MN 55427-2014

Phone

(952) 261-7522

NPI assigned

Sep 13, 2025

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1757721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1720959836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 36TH AVE N APT 209",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 36TH AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554272014",
            "telephone_number": "952-261-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABURURU",
        "first_name": "ELIJAH",
        "middle_name": "MACHOGU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-13",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Loch, RPH
• Joshua Dylan Loew, PA-C
• Valentina Lor, LICSW
• Robert Lowe, L.AC.
• Hannah Ruh Lucas, OTR/L
• Kathryn Deanne Mansergh, RPH
• Beth Marolt, MA,LMFT
• Alyssa Mason, OTR/L
• Katie Matzke
• Kiersha Lynn Mauch, MSW, LICSW

• Psychiatric/Mental Health Nurse Practitioner in New Hope, MN
• Providers in New Hope, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2025; 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.