Faduma Abdirahman Haji Ali, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60702856 Issued in WA

Practice address

1800 112TH Ave NE # 150W
Bellevue, WA 98004-2993

Phone

(425) 646-7279

NPI assigned

Mar 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Lake Meridian Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Auburn, WA
  • NPI 1033807532
  Medicare reassignment NPD Authorized official
• Principal Health Clinic LLC

  • Primary Care Nurse Practitioner
  • Bonney Lake, WA
  • NPI 1932910684

  Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1073071437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1826 S 250TH PL",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981988522",
            "telephone_number": "253-397-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE # 150W",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042993",
            "telephone_number": "425-646-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJI ALI",
        "first_name": "FADUMA",
        "middle_name": "ABDIRAHMAN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-05",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60702856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "advancedmd.com",
            "affiliation": "N",
            "address_1": "1800 112th Ave NE # 150W",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980042993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kwang Jin Hahn, D.D.S.
• Maya Hahn, LSWAIC
• Sylvia Hahn
• James D Haines, MD
• Chelsea Haining, MA, LMHC, NCC
• Fowzia Haji-Yusuf
• Mona Jullie Hajj, DDS, MSD
• Arjana Hajnaj, NP-C
• Jan T Hajnosz, O.D.
• Ara Hakobyan

• Psychiatric/Mental Health Nurse Practitioner in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.