Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265977466 Individual Practitioner Female Practitioner

Judith Moraa Wanyama , NP-C

Nurse Practitioner • Minneapolis, MN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Judith Wanyama, NP-C is a registered healthcare professional specializing in Nurse Practitioner in Minneapolis, MN. Official NPI practice address is registered at 1801 NICOLLET AVE.

Practice Location & Contact Primary Location

Practice Address

1801 Nicollet Ave

Minneapolis, MN 554033791

Telephone 6128232947
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Minneapolis, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
300 Specialists

Practicing in Minneapolis, MN (2609 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-09-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN CNP4935

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MN C4935

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License CO APN.0992867-NP

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Cheryl Settimi , CNP

Nurse Practitioner - Family

NPI 1003368689

Certified Nurse Practitioner

Fadumo Abdi , CHW

Community Health Worker

NPI 1023268406
Dr. Juan Lewis , MD

Family Medicine

NPI 1033164165

Doctor of Medicine (M.D.)

Sheila Helm , RN, CPNP

Nurse Practitioner - Pediatrics

NPI 1093978900

Registered Nurse, Certified Pediatric Nurse Practitioner

Ira Finch

Pharmacist

NPI 1164937926
NPI 1205175270

PHYSICIANASSISTANT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Business Mailing Address September 22, 2021

Registered at 900 NICOLLET MALL, MINNEAPOLIS, MN 554032530 (Tel: 7633772069)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2021

Nurse Practitioner (License #C4935 in MN)

📍
Updated Practice Location February 27, 2020

Registered at 1801 NICOLLET AVE, MINNEAPOLIS, MN 554033791 (Tel: 6128232947)

NPI Profile Active April 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2017

Registered at 3207 N ACADEMY BLVD, SUITE 3100, COLORADO SPRINGS, CO 809175100 (Tel: 7196325700)

📍
Updated Business Mailing Address April 05, 2017

Registered at 3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 809175147 (Tel: 7196325700)

👤
Provider Name / Credentials Updated April 05, 2017

Recorded as JUDITH WANYAMA, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2017

Nurse Practitioner (License #CNP4935 in MN)

NPI Profile Active December 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2016

Registered at 10800 LYNDALE AVE S, BLOOMINGTON, MN 554205614 (Tel: 9524790172)

📍
Updated Business Mailing Address December 23, 2016

Registered at 10800 LYNDALE AVE S, BLOOMINGTON, MN 554205614

👤
Provider Name / Credentials Updated December 23, 2016

Recorded as JUDITH WANYAMA, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2016

Nurse Practitioner (License #CNP4935 in MN)

🟢
Initial NPI Registration & Enumeration December 23, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265977466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2016
Last Update: September 22, 2021
Sole Proprietor: No

Mailing Address

900 Nicollet Mall

Minneapolis, MN 554032530

Phone: 7633772069

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.