Tineka Jackquette Flah, NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L 060246-6 Issued in MN

Practice address

8015 36TH Ave N Apt 319
New Hope, MN 55427-1961

Phone

(612) 598-3102

Fax

(763) 544-1816

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tineka Jackquette Sellers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1891036547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8015 36TH AVE N APT 319",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271961",
            "telephone_number": "612-598-3102",
            "fax_number": "763-544-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 36TH AVE N APT 319",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271961",
            "telephone_number": "612-598-3102",
            "fax_number": "763-544-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAH",
        "first_name": "TINEKA",
        "middle_name": "JACKQUETTE",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L 060246-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINEKA",
            "last_name": "SELLERS",
            "middle_name": "JACKQUETTE",
            "credential": "NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abdirihman Farah
• Muktar Farah, DDS
• Lisa Ann Fernelius, RN
• Kristin Fiedler
• James Dorbor Flah, PCA/NAR
• Sandra Flores Robles, MFT
• Sherri Lee Ford, COTA/L
• Matthew Clay Freudenthal, D.C.
• Frontline Mobility LLC
• Frontline Recovery LLC

• Licensed Practical Nurse in New Hope, MN
• Providers in New Hope, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.