Individual provider Active NPI

Demenia Gbarbea, APRN

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1962990184
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6532 Issued in MN
Practice address
3217 Sheridan Ave N
Minneapolis, MN 55412-2241
Phone
(763) 313-4244
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X R129010 MN
Family Nurse Practitioner 363LF0000X 6532 MN Primary

Addresses

Primary practice location

3217 Sheridan Ave N
Minneapolis, MN 55412-2241

Mailing address

3217 Sheridan Ave N
Minneapolis, MN 55412-2241
Phone (763) 313-4244

Other practice location 1

4710 Central Ave NE
Columbia Heights, MN 55421-1944
Phone (763) 746-8155

Other names 1

  • Demenia Gbarbea-Kaine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000081 MN Practitioner - Nurse Practitioner 2769462860 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R129010MNMDHome Health Registered Nurse
6532MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deende LLC CurrentSince Jul 25, 2021 Accepting new patients
Fairview Express Care Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 5, 2022 Accepting new patients
Impact Services LLC Current Accepting new patients
Fairview Express Care CurrentSince Aug 26, 2019 Accepting new patients
Fairview Express Care CurrentSince Aug 26, 2019 Accepting new patients
Open Cities Health Center, Inc. Past Accepting new patients
Pro-Health Home Care Agency, LLC Past Accepting new patients
Open Cities Health Center, Inc. Past Accepting new patients
Pro-Health Care, Inc Past Accepting new patients

Locations

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

720 Washington Ave SE
Ste 200
Minneapolis, MN 55414
Phone (612) 730-1345

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDHIBD

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1962990184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 SHERIDAN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122241",
            "telephone_number": "763-313-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 SHERIDAN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554122241",
            "telephone_number": "763-313-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 Central Ave NE",
            "address_purpose": "LOCATION",
            "city": "Columbia Heights",
            "state": "MN",
            "postal_code": "554211944",
            "country_code": "US",
            "telephone_number": "763-746-8155",
            "fax_number": "763-746-8154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GBARBEA",
        "first_name": "DEMENIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2021-07-21",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R129010",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMENIA",
            "last_name": "GBARBEA-KAINE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.