Nathaniel Living LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

NATHANIEL LIVING LLC

Practice address

7035 Berkshire LN
Shakopee, MN 55379-8052

Phone

(612) 532-1876

NPI assigned

Apr 13, 2023

Organization subpart

No

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

Authorized official

Name

Patience W Mbayo

Title

Housing Stabilization Consultant

Phone

(612) 532-1876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1760178545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 BERKSHIRE LN",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553798052",
            "telephone_number": "612-532-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 BERKSHIRE LN",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553798052",
            "telephone_number": "612-532-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHANIEL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "MBAYO",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "HOUSING STABILIZATION CONSULTANT",
        "authorized_official_telephone_number": "612-532-1876"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quresha Mohamed Muhumed
• Miranda Joy Mulligan, DDS
• David A Munch, CRNA
• Courtney Renae Muszel, LICSW
• Christina Nadeau
• Gustavo H Navarrete
• Beth E Nelson, CRNA
• Jaymi Nelson, BCBA
• Sheila Neurauter, LICSW
• Neurodiver-City LLC

• Community Health Worker in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Community Health Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.