Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kumba Umu Sogbeh Kanu, NP

Individual provider Gerontology Nurse Practitioner · NPI 1194021766

Kumba Umu Sogbeh Kanu, NP is a Nurse Practitioner in Maplewood, Minnesota. Qualified in 2015, 11 years ago. Practices with Fairview Specialty Services, a 304-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2011
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1600 Saint Johns Blvd Ste 200
Maplewood, MN 55109-1190
Phone: (651) 326-4327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6600 Excelsior Blvd, St Louis Park, MN 55426-4744 — (952) 993-7700

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4426 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R166069-8 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence 4426 (MN)

Record details

NPI number1194021766
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 31, 2011
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fairview Specialty Services — 304 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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