Healthcare Provider Details

I. General information

NPI: 1134281801
Provider Name (Legal Business Name): BARBARA K. SAIKI APRN-RX
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA K. SAIKI PMH CNS-BC

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 11/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 FORD ROAD UNIT B
ST LOUIS PARK MN
55426
US

IV. Provider business mailing address

1155 FORD ROAD UNIT B
ST LOUIS PARK MN
55426
US

V. Phone/Fax

Practice location:
  • Phone: 952-378-1800
  • Fax: 952-378-1714
Mailing address:
  • Phone: 952-378-1800
  • Fax: 952-378-1714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN - 46262
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN - 178
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRX - 65
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberR636063
License Number StateMN
# 5
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number0148039
License Number StateMN
# 6
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number46262
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: