SUSAN QUEEN DJAVEDAN I (NPI# 1790921732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790921732 |
| Entity Type | Individual |
| Full Name | SUSAN QUEEN DJAVEDAN I |
| Practice Address |
4100 Upton Ave N Minneapolis MN 55412-1522 |
| Mailing Address |
4100 Upton Ave No. Minneapolis MN 55412 |
| Practice Telephone | 7025062305 |
| Mailing Telephone | 7025062305 |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2008-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | L045270-0 | MN | Nursing Service Providers |
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
L045270-0 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
4100 UPTON AVE N |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55412-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778121 | Grace Group Home LLC | Home Delivered Meals | 3538 Fremont Ave N, Minneapolis, MN 55412 | 2019-06-11 |
| 1346708138 | Steven Keith Bell | Chiropractor | 3232 Fremont Ave. No, Suite 314, Mpls., MN 55412 | 2019-03-11 |
| 1962998997 | Steven Wolinski | Psychologist | 3830 Washburn Ave N, Minneapolis, MN 55412 | 2018-07-02 |
| 1235676438 | The Helping Hands Mn L.L.C. | Home Health | 860 Blue Gentain Rd, 200, Eagen, MN 55412 | 2017-01-25 |
| 1982070454 | Sylvia Majors | Driver | 3443 Colfax Ave North, Minneapolis, MN 55412 | 2015-08-19 |
| 1962746859 | Maureen Ellis | Social Worker | 4151 Thomas Ave N, Minneapolis, MN 55412 | 2012-11-16 |
| 1770832552 | Mastery School Inc. | Local Education Agency (LEA) | 4021 Thomas Ave N, Minneapolis, MN 55412 | 2012-09-07 |
| 1902171416 | David Anthony Wicklund | Massage Therapist | 2206 44th Ave N, Minneapolis, MN 55412 | 2012-03-16 |
| 1376739656 | Gloria Dean Scales Peterson | Social Worker | 3333 North 4th Street, Minneapolis, MN 55412 | 2007-09-19 |
| 1922173798 | Rodney Allen Lenz | Dentist | 4207 Aldrich Avenue North, Minneapolis, MN 55412 | 2006-11-21 |
| Find all providers in zip 55412 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801419700 | Kacie Roth | Registered Nurse | 3344 Brunswick Ave N, Minneapolis, MN 55422-2540 | 2020-05-26 |
| 1194348177 | Sarah Raeann Kruell | Registered Nurse | 3232 Jersey Ave S, Minneapolis, MN 55426-3417 | 2020-05-25 |
| 1386267441 | Angelica Walton Wilson | Registered Nurse | 1367 Willow St Apt 533, Minneapolis, MN 55403-2598 | 2020-05-24 |
| 1376166769 | Amanda Nielsen | Registered Nurse | 317 Groveland Ave Unit 211, Minneapolis, MN 55403-3656 | 2020-05-20 |
| 1043839228 | Jordan Wade Beck | Registered Nurse | 203 W 31st St, Minneapolis, MN 55408-3012 | 2020-04-08 |
| 1801422936 | Hannah Marcella Forrest | Registered Nurse | 3031 Ewing Ave S Apt 350, Minneapolis, MN 55416-4261 | 2020-03-20 |
| 1174183677 | Ubah Hussein Dhiblawe | Registered Nurse | 2003 10th Ave S Ste 6, Minneapolis, MN 55404-6606 | 2019-06-17 |
| 1366900839 | Kimberly A Kinsella | Registered Nurse | 929 Portland Ave Apt 1509, Minneapolis, MN 55404-1263 | 2019-03-04 |
| 1982169744 | Elaine Koczur | Registered Nurse | 724 Central Ave Ne, Minneapolis, MN 55414-1121 | 2019-02-06 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55412 |
Please comment or provide details below to improve the information on SUSAN QUEEN DJAVEDAN I.
| 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.