FADUMO HASSAN (NPI# 1912512302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912512302 |
| Entity Type | Individual |
| Full Name | FADUMO HASSAN |
| Practice Address |
1406 6th Ave N Saint Cloud MN 56303-1900 |
| Mailing Address |
1615 15th Ave Se Apt 241 Saint Cloud MN 56304-2398 |
| Practice Telephone | 3202512700 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
2212715 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992284756 | Fadumo A Hassan | Behavior Technician | 2344 Helen St N, North St Paul, MN 55109-2942 | 2018-08-11 |
| Street Address |
1406 6TH AVE N |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149939 | Ralph E Fedor | Radiology | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2005-07-26 |
| 1558962399 | Amanda Lee King | Nurse Practitioner | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-11-06 |
| 1083228092 | Kristin Deneille Hazeman | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1901 | 2020-09-07 |
| 1508477845 | Taylor Dean Olson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-11 |
| 1407467749 | Traci Jo Salveson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-11 |
| 1487264164 | Cameron Charles Hendrickson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-06 |
| 1154931475 | Megan Ann Brown | Nurse Practitioner | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-01 |
| 1326657255 | Amanda J Dircks | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-07-27 |
| 1003439241 | Mary Elizabeth Amundson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-05-22 |
| 1548897978 | Casey M Theis | Marriage & Family Therapist | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 163WM0102X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Maternal Newborn |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025924 | Mary Grogan | Registered Nurse | 2201 Hendon Ave, Saint Paul, MN 55108-1420 | 2020-05-26 |
| 1003459629 | Amber Erin Johnson | Registered Nurse | 9648 Ranchview Ln N, Maple Grove, MN 55369-4426 | 2019-10-27 |
| 1902388192 | Shannon R Weas | Registered Nurse | 1025 Washington Ave S Apt 302, Minneapolis, MN 55415-1299 | 2018-09-04 |
| 1750800645 | Megan Uter | Registered Nurse | 902 E 26th St, Minneapolis, MN 55404-4514 | 2017-09-12 |
| 1225575517 | Sylvia Cecile Bisek | Registered Nurse | 1901 W 270th St, New Prague, MN 56071-9129 | 2017-01-24 |
| 1760946925 | Allison Welle | Registered Nurse | 1650 4th St Se, Rochester, MN 55904-4717 | 2019-01-22 |
| 1689156531 | Gretchen Anne Peterson | Registered Nurse | 200 1st St. Sw, Rochester, MN 88905 | 2018-09-06 |
| 1811405582 | Audrey Kopp | Registered Nurse | 701 Park Ave, Minneapolis, MN 55415-1623 | 2018-01-16 |
| 1518485986 | Harlie Metag | Registered Nurse | 902 E 26th St Ste 1700, Minneapolis, MN 55404-4514 | 2017-09-06 |
| 1518349273 | Lisa Behr | Registered Nurse | 555 Cedar St, Saint Paul, MN 55101-2209 | 2015-06-18 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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| 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.