Organization Active NPI

Dr Kessiena Aya LLC

  • Orthopaedic Surgery Physician
  • Minneapolis, MN
National Provider Identifier
1821821059
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DR KESSIENA AYA LLC
Practice address
95 S 10TH St Apt 1107TH
Minneapolis, MN 55403-2431
Phone
(320) 480-0001
Fax
(320) 525-1234
NPI assigned
Aug 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Kessiena Aya, DONPI 1588047096
Title
President
Phone
(813) 850-0050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

95 S 10TH St Apt 1107TH
Minneapolis, MN 55403-2431

Mailing address

1873 10TH Ave E Apt 218
Alexandria, MN 56308-2646
Phone (320) 480-0001

Other practice location 1

1873 10th Ave E Apt 218
Alexandria, MN 56308-2646
Phone (320) 480-0001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1821821059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 10TH AVE E APT 218",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082646",
            "telephone_number": "320-480-0001",
            "fax_number": "320-525-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S 10TH ST APT 1107TH",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032431",
            "telephone_number": "320-480-0001",
            "fax_number": "320-525-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1873 10th Ave E Apt 218",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "MN",
            "postal_code": "563082646",
            "country_code": "US",
            "telephone_number": "320-480-0001",
            "fax_number": "320-525-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR KESSIENA AYA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "AYA",
        "authorized_official_first_name": "KESSIENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-850-0050",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 30, 2024; 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.