Tubman

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

302879 Issued in MN

Legal business name

TUBMAN

Practice address

4432 Chicago Ave
Minneapolis, MN 55407-3519

Phone

(612) 870-2447

Fax

(612) 870-2428

NPI assigned

Jun 25, 2010

Organization subpart

No

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

Authorized official

Name

Alexis L Scott, LADC

Title

Chemical Health Counselor

Phone

(612) 870-2447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1730490665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073519",
            "telephone_number": "612-870-2447",
            "fax_number": "612-870-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUBMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHEMICAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "612-870-2447",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "302879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy A Tu, DDS
• Margaret Tu, D.C.
• Shanna Tubbs, DPT
• Tubman
• Tubman
• David E Tubman, M.D.
• Kathryn Marie Tubman, MS, CCC-SLP
• Cecilia L Tubolino, NNP
• Smyrna Tuburan, MD
• Cody Daniel Tucholke, PA-C

• Community/Behavioral Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.