Individual provider Active NPI

Safiya N Ahmed

  • Family Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1992300370
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7874 Issued in MN
Practice address
438 Dorothy Day PL
Saint Paul, MN 55102-1081
Phone
(651) 290-6815
Fax
(651) 290-6818
NPI assigned
Dec 2, 2020
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7874 MN Primary

Addresses

Primary practice location

438 Dorothy Day PL
Saint Paul, MN 55102-1081

Mailing address

438 Dorothy Day PL
Saint Paul, MN 55102-1081
Phone (651) 290-6815

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
I20240301001841 MN Practitioner - Nurse Practitioner 1052756962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone (651) 602-7500

1544 Timberlake Rd
Saint Paul, MN 55117-3946
Phone (651) 602-7500

2001 Bloomington Ave S
Minneapolis, MN 55404-3074

424 Dorothy Day PL
Saint Paul, MN 55102-1025
Phone (651) 290-6814

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7874MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Side Community Health Services, Inc. CurrentSince Jan 17, 2024 Accepting new patients
Regents of the University of Minnesota CurrentSince Sep 27, 2024 Accepting new patients
West Side Community Health Services, Inc. CurrentSince Jan 17, 2024 Accepting new patients
Regents of the University of Minnesota CurrentSince Sep 27, 2024 Accepting new patients
West Side Community Health Services, Inc. Current Accepting new patients

Locations

2001 Bloomington Ave
Minneapolis, MN 55404
Phone (612) 301-3433

380 E Lafayette Frontage Rd
Ste 200
Saint Paul, MN 55107
Phone (651) 602-7552

895 7th St E
Saint Paul, MN 55106
Phone (651) 793-2250

153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816

Interoperability endpoints

  • Direct secure messaging: sahmed732988@direct.ochin.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1992300370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 DOROTHY DAY PL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021081",
            "telephone_number": "651-290-6815",
            "fax_number": "651-290-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 DOROTHY DAY PL",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021081",
            "telephone_number": "651-290-6815",
            "fax_number": "651-290-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SAFIYA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.