Individual provider Active NPI

Ubbah Omer

  • Non-emergency Medical Transport (VAN)
  • Minneapolis, MN
National Provider Identifier
1952757791
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
STS 380469 Issued in MN
Practice address
71 Saint Marys Ave SE
Minneapolis, MN 55414-3403
Phone
(651) 529-5261
Fax
(612) 500-4391
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X STS 380469 MN Primary

Addresses

Primary practice location

71 Saint Marys Ave SE
Minneapolis, MN 55414-3403

Mailing address

71 Saint Marys Ave SE
Minneapolis, MN 55414-3403
Phone (651) 529-5261

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

State licenses

LicenseStateTypeSpecialty
STS 380469MNMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1952757791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 SAINT MARYS AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143403",
            "telephone_number": "651-529-5261",
            "fax_number": "612-500-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 SAINT MARYS AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143403",
            "telephone_number": "651-529-5261",
            "fax_number": "612-500-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMER",
        "first_name": "UBBAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "STS 380469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 11, 2016; 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.