Idris Abdulle

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

13944 Edgewood Ave Unit 212
Savage, MN 55378-1233

Phone

(952) 688-9365

NPI assigned

Aug 11, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evercare Inc.

  • Clinic/Center
  • Savage, MN
  • NPI 1629893359
  NPD Authorized official
• HRB Inc.

  • Adult Mental Health Clinic/Center
  • Burnsville, MN
  • NPI 1033894001
  NPD Authorized official
• Resilience Treatment Center Inc

  • Substance Abuse Rehabilitation Facility
  • Saint Paul, MN
  • NPI 1710781687
  NPD Authorized official
• Vivo Care Inc

  • Adult Mental Health Clinic/Center
  • Burnsville, MN
  • NPI 1801617329
  NPD Authorized official

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1962387787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E 146TH ST STE 110",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374655",
            "telephone_number": "952-688-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13944 EDGEWOOD AVE UNIT 212",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553781233",
            "telephone_number": "952-688-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULLE",
        "first_name": "IDRIS",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suad Abdi, NURSE PRACTITIONER
• Abdullahi Hassan Abdullahi
• Amel Abdullahi
• Hajar Abdinur Abdullahi
• Najmo Abdullahi
• Fadumo M Abshir
• Acura Care LLC
• Acute Care Chiropractic, PA
• Risharia Tyesheka Adams, LMP
• Adelmann Dentistry LLC

• All providers in Savage, MN
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.