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Export Provider Record NPI 1073071239
Nice Healthcare Pllc
Organization Subpart: NO
Active
NPI Number1073071239
NPI TypeNPI-2 Organization
SpecialtyNurse Practitioner, Family
Provider Details
NPI1073071239
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2019-03-06
Last Updated2024-11-01
Authorized OfficialThompson Aderinkomi
CEO
Phone: 6513340720
Mailing Address2786 Fairview Ave N
Roseville, MN 55113-1306
United States
Phone: (651) 334-0720
📍 View Map
Primary Practice Address2786 Fairview Ave N
Roseville, MN 55113-1306
United States
Phone: (651) 334-0720
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No101YM0800X – Counselor, Mental Health
No101YP2500X – Counselor, Professional
No103TC0700X – Psychologist, Clinical
No104100000X – Social Worker
No1041C0700X – Social Worker, Clinical
No106H00000X – Marriage & Family Therapist
No363AM0700X – Physician Assistant, Medical
Yes363LF0000X – Nurse Practitioner, Family
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About NPI 1073071239

Nice Healthcare Pllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1073071239. The primary specialty listed is Nurse Practitioner, Family. The organization is located in Roseville, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-03-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073071239?

NPI 1073071239 belongs to Nice Healthcare Pllc, a Nurse Practitioner, Family in Roseville, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073071239 active?

The current status of NPI 1073071239 in the NPPES registry is Active. The record was last updated on 2024-11-01.

What specialty is NPI 1073071239?

NPI 1073071239 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073071239?

You can verify NPI 1073071239 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073071239?

The primary practice address on file for NPI 1073071239 is 2786 Fairview Ave N, Roseville, MN 55113-1306. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073071239 issued?

NPI 1073071239 was first issued (enumerated) on 2019-03-06. The NPPES record was last updated on 2024-11-01.

Practice Location Map

Nice Healthcare Pllc is located at 2786 Fairview Ave N, Roseville, MN. Use the map below to find directions or verify the practice location.

📍 2786 Fairview Ave N, Roseville, MN 55113-1306  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Nice Healthcare Pllc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162