Active NPI
Hope Medical Clinic LLC
- Family Nurse Practitioner
- Brooklyn Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HOPE MEDICAL CLINIC LLC
- Practice address
- 5712 Brookdale Dr N
Brooklyn Park, MN 55443-3106 - Phone
- (763) 377-2069
- NPI assigned
- Jun 6, 2025
- Organization subpart
- Yes
- Parent organization
- HOPE HEALTH INITIATIVE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judith Wanyama, NP
- Title
- Medical Director
- Phone
- (763) 377-2069
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
5712 Brookdale Dr N
Brooklyn Park, MN 55443-3106
Mailing address
5712 Brookdale Dr N
Brooklyn Park, MN 55443-3106
Phone (763) 377-2069
Other names 2
- ZARA MEDICAL LLC
- ZARA MEDICAL CENTER LLC
National Provider Directory
National Provider Directory- Tax ID family
- Hope Medical Clinic LLC
- Part of
- Hope Medical Clinic LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Minneapolis, MN
- NPI 1407496219
Locations
5712 Brookdale Dr N
Brooklyn Park, MN 55443
Phone (763) 377-2069
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Brooklyn Park, MN
- NPI 1366395006
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749168000000",
"number": "1952295552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5712 BROOKDALE DR N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554433106",
"telephone_number": "763-377-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5712 BROOKDALE DR N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554433106",
"telephone_number": "763-377-2069"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE MEDICAL CLINIC LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOPE HEALTH INITIATIVE",
"enumeration_date": "2025-06-06",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A",
"authorized_official_last_name": "WANYAMA",
"authorized_official_first_name": "JUDITH",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "763-377-2069",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ZARA MEDICAL LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ZARA MEDICAL CENTER LLC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.