NEBIYU JAMAL FANTA (NPI# 1013498872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013498872 |
Entity Type | Individual |
Full Name | NEBIYU JAMAL FANTA |
Practice Address |
478 University Ave W Saint Paul MN 55103-1935 |
Practice Telephone | 2027798511 |
Mailing Telephone | 2027798511 |
Enumeration Date | 2018-08-28 |
Last Update Date | 2018-08-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | M153136798609 | MN | Other Service Providers |
Street Address |
478 UNIVERSITY AVE W |
City | SAINT PAUL |
State | MN |
Zip Code | 55103-1935 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972148161 | Najma Group Home LLC | Home Health | 494 Aurora Ave, St Paul, MN 55103 | 2019-11-12 |
1164910121 | Linda's A Mother's Touch | Registered Nurse | 727 Front Ave Apt 606, St. Paul, MN 55103 | 2018-04-25 |
1215432380 | Olidia Transit Inc | Non-emergency Medical Transport (VAN) | 476 W Minnehaha Ave, Saint Paul, MN 55103 | 2018-03-29 |
1730579764 | Leah Angela Vibar | Chiropractor | 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 | 2015-01-29 |
1629372479 | Korme Koji | Registered Nurse | 413 Central Avenue, St Paul, MN 55103 | 2011-01-07 |
1427360114 | Olydia Home Care Inc | Home Health | 476 West Minnehaha Ave, Saint Paul, MN 55103 | 2010-07-09 |
1699908277 | Kathleen Mae Borchert | Clinical Nurse Specialist | 559 Capitol Bloulevard, St. Paul, MN 55103 | 2009-08-28 |
1164690442 | Chong Pao Thao | Technician | 23 Empire Drive, Suite 123, St Paul, MN 55103 | 2008-02-20 |
1245366806 | Quality Plus Home Healthcare Services Inc | Home Health | 383 University Ave W. Upper, St Paul, MN 55103 | 2007-02-26 |
1023176286 | Amherst H. Wilder Foundation | Assisted Living Facility | 280 Ravoux St, Saint Paul, MN 55103 | 2006-12-04 |
Find all providers in zip 55103 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801427505 | Anthony D Meade | Driver | 5222 Mccleanan Town Road, Saint Paul, VA 24283-2616 | 2020-01-31 |
1194270801 | Tou Su Taylor Kong | Driver | 33 Battle Creek Pl, Saint Paul, MN 55119-4909 | 2016-08-23 |
1972962801 | Henry David Aung | Driver | 88 Orange Ave W, Saint Paul, MN 55117-4532 | 2016-02-20 |
1841660263 | Sandol Khalaf | Driver | 1821 University Ave W Ste 153, Saint Paul, MN 55104-2894 | 2015-09-28 |
1710302724 | Lee Xiong | Driver | 892 Sims Ave, Saint Paul, MN 55106-3828 | 2014-02-27 |
1538408265 | Bilal M Alsadi | Driver | 1200 Rice St, Saint Paul, MN 55117-4903 | 2013-01-31 |
1467993956 | Kassim Mohamed | Driver | 860 Blue Gentian Rd, Ste 200, Saint Paul, MN 55121-1564 | 2017-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093322273 | Melissa Jo Dahlstrom | Driver | 185 Hidden Vly, Minnesota City, MN 55959-1231 | 2020-09-30 |
1346866100 | Oral M Sledge | Driver | 4261 Penn Ave N, Minneapolis, MN 55412-1537 | 2020-06-17 |
1790318186 | Grace Edith Line | Driver | 2934 168th Ln Nw, Andover, MN 55304-1928 | 2020-02-13 |
1548813447 | Camille Krashawn Eubanks | Driver | 6444 84thcourt, Brooklyn Park, MN 55445 | 2019-07-19 |
1174180640 | Kathryn L Pederson | Driver | 22329 141st St Ne, Hawick, MN 56273-7705 | 2019-05-21 |
1336606912 | Oluseye Akeem Adenusi | Driver | 6609 Hillsboro Ave N, Brooklyn Park, MN 55428-1862 | 2019-03-01 |
1710444146 | Abdi Fatah | Driver | 2509 Pillsbury Ave S Apt 208, Minneapolis, MN 55404-4206 | 2019-02-21 |
1932665403 | Mark Shea | Driver | 17242 Horizon Trl Se, Prior Lake, MN 55372-3939 | 2019-02-20 |
1861975765 | Kenyi Okucu | Driver | 1490 148th Ave Nw, Andover, MN 55304-3459 | 2018-09-07 |
1619456084 | Abdifatah Yusuf Warsame | Driver | 14023 Virginia Ave, Savage, MN 55378 | 2018-08-07 |
Find all providers with the same taxonomy |
City | SAINT PAUL |
Zip Code | 55103 |
Please comment or provide details below to improve the information on NEBIYU JAMAL FANTA.
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.