Individual provider Active NPI

Amaal Abdi Mohamud, RN

  • Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1811547029
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2314749 Issued in MN
Practice address
1421 Park Ave
Minneapolis, MN 55404-5200
Phone
(612) 886-3581
NPI assigned
Sep 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2314749 MN Primary

Addresses

Primary practice location

1421 Park Ave
Minneapolis, MN 55404-5200

Mailing address

11420 42ND PL N
Plymouth, MN 55441-1904

Other identifiers 1

IdentifierTypeStateIssuer
2314749OtherMNRN

Other names 1

  • Amaal Abdi Mohamud Professional name

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
2314749MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A&H Skilled Nursing Healthcare LLC Registered Nurse CurrentSince Sep 25, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1811547029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 42ND PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554045200",
            "telephone_number": "612-886-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDI MOHAMUD",
        "first_name": "AMAAL",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2314749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "2314749",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMAAL",
            "last_name": "ABDI MOHAMUD",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.