Individual provider Active NPI

Leylo F Ahmed, RN

  • Community Health Registered Nurse
  • New Brighton, MN
National Provider Identifier
1902443799
Registry record updated Nov 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
2462607 Issued in MN
Practice address
1405 Silver Lake Rd NW Ste 4
New Brighton, MN 55112-9301
Phone
(612) 245-8614
NPI assigned
Nov 29, 2019
Last updated
Nov 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 2462607 MN Primary

Addresses

Primary practice location

1405 Silver Lake Rd NW Ste 4
New Brighton, MN 55112-9301

Mailing address

1405 Silver Lake Rd NW Ste 4
New Brighton, MN 55112-9301
Phone (612) 245-8614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2462607MNMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Behavioral Health CurrentSince Dec 1, 2019 Accepting new patients

Locations

1405 Silver Lake Rd NW
Ste 4
New Brighton, MN 55112
Phone (612) 245-8614

Organizations & group practices 1

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": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1902443799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW STE 4",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129301",
            "telephone_number": "612-245-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW STE 4",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129301",
            "telephone_number": "612-245-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "LEYLO",
        "middle_name": "F",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "2462607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; 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.