Abdirahman Gulled

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

112 Market St
2Rd FLR
Lynn, MA 01901-1125

Phone

(781) 910-6883

NPI assigned

Nov 9, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childrens Friend and Families

  • Community/Behavioral Health Agency
  • Lynn, MA
  • NPI 1336439421
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1003117953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WAVE AVE",
            "address_2": "3",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021515452",
            "telephone_number": "781-910-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MARKET ST",
            "address_2": "2RD FLR",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011125",
            "telephone_number": "781-910-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLED",
        "first_name": "ABDIRAHMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolanda Rosa Guante
• Keyla Guerrero-Santana
• Brandi Guerrero, RN
• Andres Guirola, D.D.S.
• Rita Louise Gulick-Ungerer, RNC,MSN,CS,FNP
• Anurag Gupta, DMD
• Alexandra Gutierrez, MSW
• Jasmin Guzman
• H Beratis DDS Inc.
• Habit Optco Acadia Healthcare

• Community Health Worker in Lynn, MA
• Providers in Lynn, MA by specialty
• Community Health Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.