NORAINI OTHMAN (NPI# 1902915754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902915754 |
| Entity Type | Individual |
| Full Name | NORAINI OTHMAN |
| Credential | RN |
| Practice Address |
4325 Grand Ave Duluth MN 55807-2730 |
| Practice Telephone | 2187221497 |
| Practice Fax Number | 2187226239 |
| Mailing Telephone | 2187221497 |
| Mailing Fax Number | 2187226239 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
129927-6 | MN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LICENSE | 129927-6 | 01 |
| WI | LICENSE | 131409 | 01 |
| Street Address |
4325 GRAND AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55807-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484875 | Barbara G Hemenway | Family Medicine | 4325 Grand Ave, Duluth, MN 55807-2730 | 2005-08-16 |
| 1457984783 | Kellie Lynn Murphy | Dental Hygienist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2020-02-14 |
| 1417598079 | Brittany Morgan Hamm | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807-2730 | 2019-10-04 |
| 1962997023 | Yin Cao | Dentist | 4325 Grand Ave, Duluth, MN 55807-2730 | 2018-06-29 |
| 1609367895 | Susan Marie Johnson | Licensed Practical Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2018-05-23 |
| 1467993774 | Kristie Hills | Counselor | 4325 Grand Ave, Duluth, MN 55807-2730 | 2017-03-20 |
| 1124569041 | Nicole Shockley | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807-2730 | 2017-03-10 |
| 1457714560 | Alecia Radtke | Licensed Practical Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-04-05 |
| 1386008449 | Amber Tibbetts | Licensed Practical Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2016-04-05 |
| 1679934012 | Rebecca Ann Peterson | Nurse Practitioner | 4325 Grand Ave, Duluth, MN 55807 | 2016-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568918126 | Jaime Lynn Mallory | Counselor | 4000 W 9th St., Duluth, MN 55807 | 2016-09-01 |
| 1568817138 | Fathers Rise Together | Community/Behavioral Health | 319 N 22nd Ave West, Duluth, MN 55807 | 2016-05-02 |
| 1558660357 | Melissa June Huray | Counselor | 326 North Central Avenue, Duluth, MN 55807 | 2011-03-18 |
| 1376757682 | Chiropractic Health Center P A | Chiropractor | 215 North Central Ave, Duluth, MN 55807 | 2007-05-09 |
| 1639235914 | Mark Andrew Nelson Albee | Social Worker | 4214 Grand Avenue, Duluth Clinic-west, Duluth, MN 55807 | 2006-12-29 |
| 1851457758 | Northwood Children's Services, Inc. | Counselor | 4000 W 9th St, Duluth, MN 55807 | 2006-12-28 |
| 1326134529 | Jane Patricia Rudd | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-10-05 |
| 1548290257 | Kirsten I Bich | Family Medicine | 4212 Grand Ave, Essentia Health West Duluth Clinic, Duluth, MN 55807 | 2006-07-05 |
| 1033140660 | Wendell R Bonner | Family Medicine | 4212 Grand Ave, Duluth, MN 55807 | 2006-07-05 |
| 1225525645 | Mark J Engebretson | Social Worker | 5814 Elinor St, Duluth, MN 55807-1215 | 2018-04-20 |
| Find all providers in zip 55807 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104174531 | Mamboh Ngum Yufenyuy | Registered Nurse | 1657 Southgate Mill Dr Nw, Duluth, GA 30096 | 2012-08-15 |
| 1023128477 | Madhuri Basak | Registered Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2006-08-30 |
| 1497862890 | Lisa B. Messerer | Registered Nurse | 4325 Grand Ave, Duluth, MN 55807-2730 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370462 | Mallory J Allinder | Registered Nurse | 17944 Jasmine Ct, Lakeville, MN 55044-8750 | 2020-09-08 |
| 1891318549 | Kristin Marie Cook | Registered Nurse | 124 Cedar Lake Rd N, Minneapolis, MN 55405-1703 | 2020-05-28 |
| 1972929503 | Kelly Rheingans | Registered Nurse | 3915 Golden Valley Rd, Courage Kenny Advanced Primary Care Clinic, Golden Valley, MN 55422-4249 | 2014-03-06 |
| 1538422175 | Tonia Poirier | Registered Nurse | 13688 Rogers Dr, Rogers, MN 55374-4916 | 2012-06-19 |
| 1972756997 | Mardea Mercedes Asare | Registered Nurse | 5811 Cedar Lake Rd S, St Louis Park, MN 55416-1458 | 2008-11-04 |
Please comment or provide details below to improve the information on NORAINI OTHMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.