Makia Camara

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

1098738-1-HCBS Issued in MN

Practice address

6240 Highway 65 NE Ste 208
Fridley, MN 55432-5154

Phone

(612) 283-6601

NPI assigned

Mar 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1780144600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 HIGHWAY 65 NE STE 208",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 HIGHWAY 65 NE STE 208",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325154",
            "telephone_number": "612-283-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARA",
        "first_name": "MAKIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "1098738-1-HCBS",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "1098738-1-HCBS",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "MN",
            "license": "1098738-1-HCBS",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MN",
            "license": "1098738-1-HCBS",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MN",
            "license": "1098738-1-HCBS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calie Bryanne Budnick, LICSW
• Yen Bui
• Colleen Barbara Burke, LADC
• Matthew S Butterfield, M.D.
• Ceaontaye Dequan Cain
• Sarah Beth Cambanes, M.S., CF-SLP
• Sarah Margaret Campbell, DO
• Kelli Michelle Cannata, PA-C
• Rebecca Cantwell, PA
• Xianwen Cao

• Community Health Worker in Fridley, MN
• Providers in Fridley, 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 Mar 25, 2019; 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.