Lensa Ali
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Saint Paul, MN
NPI 1780397240 · NPPES record last updated May 23, 2023
Key facts
- NPI
- 1780397240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2595 - Phone
- (651) 254-3456
- NPI assigned
- Dec 29, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250106001108 | MN | Order and Referring Only - Emergency Medicine |
4981132867 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connections Behavioral Services LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2595
Mailing address
640 Jackson St
Saint Paul, MN 55101-2595
Phone (651) 254-3456
Other providers in Saint Paul, MN
- Huda Musse Ali
- Ikra Ali
- Iman Mustafe Ali
- Ishaq Mohamud Ali
- Jihaan Salad Ali
- Mahado Ali
- Mariam Mohamed Ali
- Mohamed Ali
- Mohamed Abdulwali Ali
- Mohammed Olow Ali
All providers in Saint Paul, MN · Student in an Organized Health Care Education/Training Program in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.