Amina Fathima Ahmed
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lebanon, NH
NPI 1164099255 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1164099255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1 Medical Dr Dept of
Lebanon, NH 03756-1000 - Phone
- (603) 650-5000
- NPI assigned
- Jun 7, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250716002700 | NH | Order and Referring Only - Neurology |
9830604958 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1 Medical Dr Dept of
Lebanon, NH 03756-1000
Mailing address
98 S Los Robles Ave
Pasadena, CA 91101-2433
Phone (888) 576-3348
Other practice location 1
98 S Los Robles Ave
Pasadena, CA 91101-2433
Phone (888) 576-3348
Other providers in Lebanon, NH
- Christopher G Ahern
- Kaitlyn Page Ahlers
- Jibran Ahmad
- Shawn M Ahmad
- Sophia Ahmad
- Sara Ahmed
- Safiya Aijazi
- Samantha Jean Ainsworth-Wright
- Tinuola Bolanle Ajayi
- Sarah Carolyn Akerman
All providers in Lebanon, NH · Student in an Organized Health Care Education/Training Program in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.