Inspire Change Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INSPIRE CHANGE CLINIC

Practice address

2015 Chicago Ave
Minneapolis, MN 55404-2813

Phone

(612) 987-4505

NPI assigned

Jun 14, 2024

Organization subpart

No

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

Authorized official

Name

Jamila Abdukadir, FNP-CNPI 1881357663

Title

Medical Director

Phone

(612) 987-4505

Specialties & licenses 1

Addresses

Other names 1

• Inspire Change Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jamila Abdukadir, FNP

  • Family Nurse Practitioner
  • Burnsville, MN
  • NPI 1881357663
  Medicare reassignment Care Compare group NPD Authorized official
• Munira Maalimisaq, CNP

  • Nurse Practitioner
  • Minneapolis, MN
  • NPI 1467180836
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1831932128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 PARK AVE # 208",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071006",
            "telephone_number": "612-987-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042813",
            "telephone_number": "612-987-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE CHANGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "ABDUKADIR",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "612-987-4505",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspire Change Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inner Roadtrip
• Brittany L Innes, ARNP
• Innovations for Aging, LLC
• Abdiasis Inshar, DC
• Insight ABA Services
• Inspire Therapeutic Inc
• Inspire Wellness LLC
• Instant Interpreting Services, Inc.
• Integral Psychotherapy, LLC
• Integrated Therapy Services

• Primary Care Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.