Active NPI
Abigail E Redding, MD
- Psychiatry Physician
- Minneapolis, MN
National Provider Identifier
1750432894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 49292
- Practice address
- 1 Veterans Dr
Minneapolis VA Healthcare System
Minneapolis, MN 55417-2309 - Phone
- (612) 467-2125
- Fax
- (612) 727-5633
- NPI assigned
- Jan 16, 2007
- Last updated
- Sep 28, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 49292 | MN | Primary |
Addresses
Primary practice location
1 Veterans Dr
Minneapolis VA Healthcare System
Minneapolis, MN 55417-2309
Mailing address
1 Veterans Dr
Minneapolis VA Healtcare System
Minneapolis, MN 55417-2309
Phone (612) 467-2125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 062173000 | Medicaid | MN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1750432894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VETERANS DR",
"address_2": "MINNEAPOLIS VA HEALTCARE SYSTEM",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172309",
"telephone_number": "612-467-2125",
"fax_number": "612-727-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VETERANS DR",
"address_2": "MINNEAPOLIS VA HEALTHCARE SYSTEM",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554172309",
"telephone_number": "612-467-2125",
"fax_number": "612-727-5633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDING",
"first_name": "ABIGAIL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "49292",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062173000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
- Red Lake Avivo Sud Tribal Health Services
- Red Lake Band of Chippewa Indians
- Red Lake Helix Sud Services
- Kristin Reddall, PHARM.D
- Roberto Javier Redding Ochoa, MD
- Pranav Konudulla Reddy, M.D.
- Sudhir J Reddy, MD
- Supriya Reddy, MD
- James Julian Reddyhough, MD
- Redeemer Residence, Inc. (Redeemer Health and Rehab Center - A Ministry of Elim Care, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.