Individual provider Active NPI

Ruth Mushimbwa Haamankuli, DNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1881881035
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7197 Issued in MN
Practice address
425 20TH Ave S
Minneapolis, MN 55454-4400
Phone
(612) 332-4973
Fax
(612) 238-3534
NPI assigned
Oct 2, 2007
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7197 MN Primary
Registered Nurse 163W00000X 1560918 MN

Addresses

Primary practice location

425 20TH Ave S
Minneapolis, MN 55454-4400

Mailing address

425 20TH Ave S
Minneapolis, MN 55454-4400
Phone (612) 332-4973

Other practice location 1

380 E Lafayette Frontage Rd
Saint Paul, MN 55107-1200
Phone (651) 602-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424000357 MN Practitioner - Nurse Practitioner 7517306582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone (651) 602-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Community Health Services, Inc. CurrentSince May 6, 2024 Accepting new patients
West Side Community Health Services, Inc. CurrentSince May 6, 2024 Accepting new patients
Cedar Riverside People's Center CurrentSince Sep 9, 2025 Accepting new patients
West Side Community Health Services, Inc. Current Accepting new patients
Integrity Health Care Services LLC Past Accepting new patients
Cedar Riverside People's Center Past Accepting new patients

Locations

425 20th Ave S
Minneapolis, MN 55454
Phone (612) 332-4973

895 7th St E
Saint Paul, MN 55106
Phone (651) 793-2250

153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816

Interoperability endpoints

  • Direct secure messaging: rhaamankuli733071@direct.ochin.org

Organizations & group practices 6

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1881881035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 20TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554544400",
            "telephone_number": "612-332-4973",
            "fax_number": "612-238-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 20TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554544400",
            "telephone_number": "612-332-4973",
            "fax_number": "612-238-3534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 E Lafayette Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551071200",
            "country_code": "US",
            "telephone_number": "651-602-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAAMANKULI",
        "first_name": "RUTH",
        "middle_name": "MUSHIMBWA",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7197",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1560918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.