The Experience of Neshama

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

THE EXPERIENCE OF NESHAMA

Practice address

1 Water St W Ste 220
Saint Paul, MN 55107-2002

Phone

(612) 418-9429

Fax

(651) 318-3637

NPI assigned

Aug 12, 2020

Organization subpart

No

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

Authorized official

Name

Ryan Eckdahl

Title

President

Phone

(612) 418-9429

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1780295964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WATER ST W STE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072002",
            "telephone_number": "612-418-9429",
            "fax_number": "651-318-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WATER ST W STE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072002",
            "telephone_number": "612-418-9429",
            "fax_number": "651-318-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXPERIENCE OF NESHAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "ECKDAHL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-418-9429"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Case Manager/Care Coordinator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.