Individual provider Active NPI

Firdous Nuru Mohammed

  • Home Health Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1164338711
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
903147 Issued in NV
Practice address
4921 Indian River Dr Unit 118
Las Vegas, NV 89103-7485
Phone
(702) 505-2882
NPI assigned
Aug 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 903147 NV Primary

Addresses

Primary practice location

4921 Indian River Dr Unit 118
Las Vegas, NV 89103-7485

Mailing address

4921 Indian River Dr Unit 118
Las Vegas, NV 89103-7485
Phone (702) 505-2882

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1164338711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 INDIAN RIVER DR UNIT 118",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891037485",
            "telephone_number": "702-505-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 INDIAN RIVER DR UNIT 118",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891037485",
            "telephone_number": "702-505-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "FIRDOUS",
        "middle_name": "NURU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NV",
            "license": "903147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.