Provider Demographics
NPI:1134281801
Name:SAIKI, BARBARA K (APRN-RX)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:K
Last Name:SAIKI
Suffix:
Gender:F
Credentials:APRN-RX
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:K
Other - Last Name:SAIKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMH CNS-BC
Mailing Address - Street 1:1155 FORD ROAD
Mailing Address - Street 2:UNIT B
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426
Mailing Address - Country:US
Mailing Address - Phone:952-378-1800
Mailing Address - Fax:952-378-1714
Practice Address - Street 1:1155 FORD ROAD
Practice Address - Street 2:UNIT B
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426
Practice Address - Country:US
Practice Address - Phone:952-378-1800
Practice Address - Fax:952-378-1714
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN - 46262163WP0809X
HIAPRN - 178363LP0808X
HIRX - 65363LP0808X
MNR636063364S00000X
MN0148039364SP0809X
MN46262364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00A0225647OtherHMSA, KONA
HI00B0225645OtherHMSA, KA'U
HI0000565905Medicaid
HI580894Medicare UPIN
HI52974Medicare PIN
HI0000565905Medicaid