Bontu Deressa
NPI 1720910086 · Student in an Organized Health Care Education/Training Program · Blaine, MN
Bontu Deressa is a Student in an Organized Health Care Education/Training Program provider in Blaine, MN (NPI 1720910086).
Provider details
- NPI number
- 1720910086
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-06-01
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Frequently asked questions
- What is Bontu Deressa's NPI number?
- Bontu Deressa's National Provider Identifier (NPI) is 1720910086, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bontu Deressa's specialty?
- Bontu Deressa is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Bontu Deressa located?
- Bontu Deressa's practice location on file with NPPES is 3636 110th Ln Ne, Blaine, MN 55449-7702.
- What is Bontu Deressa's phone number?
- The practice phone number listed in the NPPES registry for Bontu Deressa is (763) 318-8981.
- Is Bontu Deressa's NPI active?
- Yes — Bontu Deressa's NPI (1720910086) is active in the NPPES registry as of the last update on 2026-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.