Faedowsa Abdi Ismail I

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HCO151243 Issued in VA

Practice address

44081 Pipeline PLZ Ste 100-2
Ashburn, VA 20147-5891

Phone

(571) 446-9798

Fax

(703) 263-2206

NPI assigned

Jun 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Halla Home Health Care LLC

  • Home Health Agency
  • Ashburn, VA
  • NPI 1982218699
  NPD Authorized official

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1043740210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44081 PIPELINE PLZ STE 100-2",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475891",
            "telephone_number": "571-446-9798",
            "fax_number": "703-263-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44081 PIPELINE PLZ STE 100-2",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475891",
            "telephone_number": "571-446-9798",
            "fax_number": "703-263-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "FAEDOWSA",
        "middle_name": "ABDI",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": "HCO151243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80-0263295",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kiran Iqbal, MD
• Mary M Ireland, PHD
• Irene Pruitt, LPC, LLC
• Nicholas Christopher Isaacs
• Minia Isayas
• Ronel Israel
• Deegan Marie Ivers, LPC
• Emily Anastasya Jackson, PT, DPT, LAT, ATC
• Mahnaz Jalali, D.D.S.
• Nafisatu Jalloh, RN, MSN, PMHNP-BC

• Home Health Aide in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.