Active NPI
Achalla Nyigwo
- Behavior Technician
- Minneapolis, MN
National Provider Identifier
1982356523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 3333 University Ave SE
Minneapolis, MN 55414-3325 - Phone
- (612) 253-1139
- NPI assigned
- Jan 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
3333 University Ave SE
Minneapolis, MN 55414-3325
Mailing address
3333 University Ave SE
Minneapolis, MN 55414-3325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00055518500 | Other | UCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Minnepolis | Other |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1982356523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 UNIVERSITY AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 UNIVERSITY AVE SE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143325",
"telephone_number": "612-253-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYIGWO",
"first_name": "ACHALLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "00055518500",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Minnepolis",
"affiliation": "N",
"endpointDescription": "Minnesota",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/A",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "641 Huron Blvd SE Apt 4112",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554143725",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.