Active NPI
Poua Song
- Home Health Registered Nurse
- Minneapolis, MN
National Provider Identifier
1770446130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 2480597
- Practice address
- 1113 E Franklin Ave Ste 200
Minneapolis, MN 55404-2977 - Phone
- (612) 870-0155
- NPI assigned
- Dec 3, 2025
- 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 2480597 | MN | Primary |
Addresses
Primary practice location
1113 E Franklin Ave Ste 200
Minneapolis, MN 55404-2977
Mailing address
1113 E Franklin Ave Ste 200
Minneapolis, MN 55404-2977
Phone (612) 870-0155
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2480597 | MN | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1770446130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 E FRANKLIN AVE STE 200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554042977",
"telephone_number": "612-870-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 E FRANKLIN AVE STE 200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554042977",
"telephone_number": "612-870-0155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "POUA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "MN",
"license": "2480597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.