Organization Active NPI

Ep Academy LLC

  • Early Intervention Provider Agency
  • St Louis Park, MN
National Provider Identifier
1881315620
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
EP ACADEMY LLC
Practice address
8700 W 36TH St Ste 221
Saint Louis Park, MN 55426-3906
Phone
(763) 346-0522
NPI assigned
Sep 9, 2022
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Zakaria Abdi, PRESIDENT
Title
Owner
Phone
(763) 843-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

8700 W 36TH St Ste 221
Saint Louis Park, MN 55426-3906

Mailing address

1380 Energy LN Ste 201
Saint Paul, MN 55108-5253
Phone (763) 843-5055

National Provider Directory

National Provider Directory

Locations

1380 Energy Ln
Ste 201
Saint Paul, MN 55108
Phone (763) 286-3274

8700 W 36th St
Ste 221
St Louis Park, MN 55426
Phone (763) 346-0522

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1881315620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 ENERGY LN STE 201",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085253",
            "telephone_number": "763-843-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 W 36TH ST STE 221",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554263906",
            "telephone_number": "763-346-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP ACADEMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ZAKARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-843-5055",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

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