African American Survivor Services
NPI 1386530178ActiveOrganization· Prevention Professional· Saint Paul, MN
Prevention Professional in Saint Paul, Minnesota, registered in NPPES in June 2025. The authorized official on file is Ivan Louis Nelson, CPRSR-FE, Director/Cprsr.
Overview
| NPI | 1386530178 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 17, 2025 |
| Last updated in NPPES | Jun 17, 2025 |
| Certified by provider | Jun 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prevention Professional Primary | 405300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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