Individual provider Active NPI

Dana Blair Qamoos, RN

  • Home Health Registered Nurse
  • Saint Paul, MN
National Provider Identifier
1801465521
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
745019 Issued in MN
Practice address
1563 White Bear Ave N Ste 102
Saint Paul, MN 55106-1616
Phone
(651) 646-8771
Fax
(651) 646-8910
NPI assigned
Jun 18, 2021
Last updated
Jun 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 745019 MN Primary

Addresses

Primary practice location

1563 White Bear Ave N Ste 102
Saint Paul, MN 55106-1616

Mailing address

7320 York Ave S Apt 212
Edina, MN 55435-4715
Phone (651) 216-5967

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
745019MNMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Att Home Health Care Inc. CurrentSince Jun 22, 2021 Accepting new patients

Locations

1563 White Bear Ave N
Ste 102
Saint Paul, MN 55106
Phone (651) 646-8771

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1801465521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 YORK AVE S APT 212",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354715",
            "telephone_number": "651-216-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 WHITE BEAR AVE N STE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061616",
            "telephone_number": "651-646-8771",
            "fax_number": "651-646-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QAMOOS",
        "first_name": "DANA",
        "middle_name": "BLAIR",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "745019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.