Individual provider Active NPI

Farah Doulkidah, RN

  • Registered Nurse
  • Miamisburg, OH
National Provider Identifier
1124844691
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
348866 Issued in OH
Practice address
4215 King Bird LN
Miamisburg, OH 45342-0825
Phone
(619) 481-9236
NPI assigned
Nov 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 348866 OH Primary

Addresses

Primary practice location

4215 King Bird LN
Miamisburg, OH 45342-0825

Mailing address

4215 King Bird LN
Miamisburg, OH 45342-0825
Phone (619) 481-9236

Other names 1

  • Farah Doulkidah Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
348866OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1732838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1124844691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 KING BIRD LN",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453420825",
            "telephone_number": "619-481-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 KING BIRD LN",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453420825",
            "telephone_number": "619-481-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOULKIDAH",
        "first_name": "FARAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-29",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "348866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARAH",
            "last_name": "DOULKIDAH",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miamisburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; 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.