NICE HEALTHCARE PLLC - NPI 1073071239 - Nurse Practitioner in Roseville, MN

Q: What is Nice Healthcare PLLC's NPI number?

The NPI number for Nice Healthcare PLLC is 1073071239. It was assigned to this organization in the NPPES registry on March 6, 2019.

Q: What is Nice Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

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About Nice Healthcare Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICE HEALTHCARE PLLC (NPI 1073071239) is a healthcare organization registered as a family in Roseville, Minnesota and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through July 31, 2027 and lists Thompson Temilade Aderinkomi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073071239

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameNICE HEALTHCARE PLLC

Location Address2786 FAIRVIEW AVE NRoseville, MN 55113-1306

Mailing Address2786 Fairview Ave NRoseville, MN 55113-1306 · (651) 334-0720

Phone(651) 334-0720

Organization SubpartNo

Authorized OfficialThompson Temilade AderinkomiCeo · (651) 334-0720

Enumeration DateMarch 6, 2019

Last NPPES UpdateNovember 1, 2024

NPPES CertifiedNovember 1, 2024

✔ NPI 1073071239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

2786 FAIRVIEW AVE N, Roseville, MN 55113

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2134358

Nice Healthcare, LLC · Roseville, MN

Active · expires Jul 31, 2027

CLIA Number24D2134358

Laboratory TypePractitioner Other

Certificate Effective DateAugust 1, 2025

Certificate Expiration DateJuly 31, 2027

Laboratory DirectorGenevieve M. Swenson

Laboratory Phone(651) 334-0720

Laboratory LocationNice Healthcare, LLC2786 Fairview Ave N, Roseville, MN 55113

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUSTIN TODD MUCHOW MA, LMFT

Marriage & Family Therapist