Active NPI
Family Tree Inc
Doing business as Family Tree Clinic
- Ambulatory Family Planning Facility
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Family Planning Facility
- Legal business name
- FAMILY TREE INC
- Doing business as
- Family Tree Clinic
- Practice address
- 1919 Nicollet Ave
Minneapolis, MN 55403 - Phone
- (612) 473-0800
- NPI assigned
- Aug 21, 2006
- Last updated
- May 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Willow Nichols
- Title
- Finance Director
- Phone
- (612) 473-0812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Family Planning Facility | 261QA0005X | Primary |
Addresses
Primary practice location
1919 Nicollet Ave
Minneapolis, MN 55403
Mailing address
1919 Nicollet Ave
Minneapolis, MN 55403-3747
Phone (612) 473-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 645753300 | Medicaid | MN |
Other names 1
- FAMILY TREE CLINIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0399071 | Family Tree Clinic | Provider-performed microscopy | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
1919 Nicollet Ave
Minneapolis, MN 55403
Phone (612) 445-0225
1619 Dayton Ave
Ste 205
Saint Paul, MN 55104
Phone (651) 645-0478
Practitioners & affiliated clinicians
Practitioners 16
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.
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1457052664
-
- Advanced Practice Midwife
- Minneapolis, MN
- NPI 1033871660
-
- Advanced Practice Midwife
- Minneapolis, MN
- NPI 1497580930
-
- Advanced Practice Midwife
- Minneapolis, MN
- NPI 1659917680
-
- Women's Health Nurse Practitioner
- Saint Paul, MN
- NPI 1811652027
-
- Women's Health Nurse Practitioner
- Saint Paul, MN
- NPI 1164877742
-
- Physician Assistant
- Minneapolis, MN
- NPI 1700424173
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1104349364
-
- Family Medicine Physician
- Saint Paul, MN
- NPI 1992047385
-
- Family Medicine Physician
- Brooklyn Center, MN
- NPI 1730356098
-
- Family Medicine Physician
- Hastings, MN
- NPI 1023067709
-
- Nurse Practitioner
- Saint Paul, MN
- NPI 1164644415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778630400000",
"number": "1952417412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033747",
"telephone_number": "612-473-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55403",
"telephone_number": "612-473-0800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY TREE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A",
"authorized_official_last_name": "NICHOLS",
"authorized_official_first_name": "WILLOW",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "612-473-0812"
},
"taxonomies": [
{
"code": "261QA0005X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Family Planning Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "645753300",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY TREE CLINIC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "FAMILY TREE CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.