Mohamed Mohamoud Warsame

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1650 West End Blvd Suite 175
St Louis Park, MN 55416

Phone

(952) 994-0909

Fax

(952) 487-3216

NPI assigned

Sep 14, 2023

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1972380657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 WEST END BLVD SUITE 175",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "952-994-0909",
            "fax_number": "952-487-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 WEST END BLVD SUITE 175",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "952-994-0909",
            "fax_number": "952-487-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSAME",
        "first_name": "MOHAMED",
        "middle_name": "MOHAMOUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Wankhede Langenfeld, M.D.
• Anna Ward
• Robert Charles Ward, M.D.
• Jacquelyn Warner, R.D.
• Amal Yusuf Warsame
• Najma Warsame
• Nawal Mohamoud Warsame
• Warsame Mohamoud Warsame
• Lisa Ruth Wasserman, M.D.
• Angela Bernice Wasz, CRNA

• Behavior Technician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.