Rebecca Souhel Awabdeh

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704361509 Issued in MI

Practice address

17001 17 Mile Rd
Clinton Township, MI 48038-2801

Phone

(586) 286-7100

NPI assigned

Nov 13, 2023

Last updated

Nov 13, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.awabdeh.1@27127.direct.athenahealth.com

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

• LTC Physician Care PC

  • Geriatric Medicine (Family Medicine) Physician
  • Bingham Farms, MI
  • NPI 1841991817
  Medicare reassignment NPD

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1144094905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2697 ROUNDTREE DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17001 17 MILE RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382801",
            "telephone_number": "586-286-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWABDEH",
        "first_name": "REBECCA",
        "middle_name": "SOUHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704361509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Associates Therapeutic Massage, LLC
• Athletico LTD (Athletico Physical Therapy)
• Mary Catherine Aumann, L.L.P.C.
• Brian Matthew Aune, LLBSW
• Avanti Behavioral Services, LLC
• Alicia Ayers, MD
• Ayman Tarabishy MD PLLC (Enhance Center for Interventional Spine and Sports)
• Ethel Egbua Ayorinde, R.N.
• Jennifer Ayotte, LLMSW
• Fatime Ayoub, MD

• Primary Care Nurse Practitioner in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.