Simon Momanyi Nyamari, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R1704787 Issued in MN

Practice address

1705 Southcross Dr W Ste 105
Burnsville, MN 55306-7012

Phone

(952) 683-1628

Fax

(952) 683-1629

NPI assigned

Mar 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amani Health Care Services, LLC

  • Home Health Agency
  • Burnsville, MN
  • NPI 1508491861
  NPD Authorized official

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1780219121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 SOUTHCROSS DR W STE 105",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067012",
            "telephone_number": "952-683-1628",
            "fax_number": "952-683-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 SOUTHCROSS DR W STE 105",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553067012",
            "telephone_number": "952-683-1628",
            "fax_number": "952-683-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAMARI",
        "first_name": "SIMON",
        "middle_name": "MOMANYI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R1704787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA CADI WAIVER",
            "identifier": "A836410600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADI WAIVER MA",
            "identifier": "A116450100",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BURNSVILLE",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1705 Southcross Dr W Ste 105",
            "city": "Burnsville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553067012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natli Nur
• Rahma Nur
• Tariq Mohamud Nur
• Nurturing Minds Care Center LLC
• Monicah Nyakoe, OT
• Faith Monyangi Nyamweya, RN
• Immaculate Nyangoma
• Nancy Nekesa Nyongesa, DNP
• Bernard Paul O'Brien, D.C.
• Emily Barbara O'Neil, M.D.

• Registered Nurse in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.