NPIMap

Organization Active NPI

Shenoah Reed

  • Case Manager/Care Coordinator
  • Blaine, MN
National Provider Identifier
1982383188
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SHENOAH REED
Doing business as
Shenoah Reed Foundation
Practice address
10967 University Ave NE Apt F
Blaine, MN 55434-1993
Phone
(612) 567-7786
Fax
(763) 390-0027
NPI assigned
Jul 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Authorized official

Name
Shenoah Jean ReedNPI 1538840749
Title
President
Phone
(612) 567-7786

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

10967 University Ave NE Apt F
Blaine, MN 55434-1993

Mailing address

10967 University Ave NE Apt F
Blaine, MN 55434-1993
Phone (612) 567-7786

Other names 1

  • Shenoah Reed Foundation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1982383188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10967 UNIVERSITY AVE NE APT F",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341993",
            "telephone_number": "612-567-7786",
            "fax_number": "763-390-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 UNIVERSITY AVE NE APT F",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341993",
            "telephone_number": "612-567-7786",
            "fax_number": "763-390-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENOAH REED",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SHENOAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-567-7786"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenoah Reed Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blaine, MN

Sources for this page

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