Neuronest Wellness

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

NEURONEST WELLNESS

Practice address

4445 77TH St W Ste 102
Edina, MN 55435-5134

Phone

(763) 807-4146

NPI assigned

Jun 27, 2025

Last updated

Jun 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Muhumed Mohamed

Title

Manager/Owner

Phone

(763) 807-4146

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1750982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1760371595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 77TH ST W STE 102",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 77TH ST W STE 102",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355134",
            "telephone_number": "763-807-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURONEST WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "MUHUMED",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "763-807-4146"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Edina, MN
• Providers in Edina, MN by specialty
• Early Intervention Provider Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.