Active NPI
Redor Nuri Abdullah
- Family Nurse Practitioner
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 23296
- Practice address
- 719 Thompson LN Ste 30330
Nashville, TN 37204 - Phone
- (615) 936-2000
- NPI assigned
- Jan 14, 2018
- Last updated
- Dec 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP137245 | TX | |
| Family Nurse Practitioner | 363LF0000X | 23296 | TN | Primary |
Addresses
Primary practice location
719 Thompson LN Ste 30330
Nashville, TN 37204
Mailing address
719 Thompson LN Ste 30330
Nashville, TN 37204-4701
Phone (615) 936-2000
Other practice location 1
2815 S Hampton Rd
Dallas, TX 75224-2329
Phone (214) 330-0137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 20TH Ave N
Suite G1
Nashville, TN 37203-2132
Phone (615) 284-7035
4536 Nolensville Pike
Suite F
Nashville, TN 37211-4786
Phone (615) 275-7250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP137245 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Diagnostic Imaging, PC | Current | Accepting new patients | |
| Retail Health Clinics, LLC | Current | Accepting new patients | |
| Advanced Diagnostic Imaging PC | Current | Accepting new patients | |
| Amed Medical Group PLLC | Current | Accepting new patients | |
| Topcare Medical PA | Past | Accepting new patients | |
| Topcare Medical Group Inc | Past | Accepting new patients |
Locations
3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018
198 E Main St
Hendersonvlle, TN 37075
Phone (615) 264-3583
5651 Frist Blvd
Ste 200
Hermitage, TN 37076
Phone (615) 885-0200
121 Bear Xing
Ste 300
Mt Juliet, TN 37122
Phone (615) 885-0200
300 20th Ave N
Ste G1
Nashville, TN 37203
Phone (615) 284-7035
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
4536 Nolensville Rd
Ste F
Nashville, TN 37211
Phone (615) 275-7250
719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871
Interoperability endpoints
- redor.abdullah@afc-tn.direct.office.nextgen.com
- redor.abdullah@ahp.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
dba AdvancedHealth
- Internal Medicine Physician
- Goodlettsville, TN
- NPI 1093741464
-
- Family Medicine Physician
- Nashville, TN
- NPI 1952956500
-
- Health Service Clinic/Center
- Nashville, TN
- NPI 1447772058
-
dba Ankle and Foot Centers of Nashville
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1205344009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 THOMPSON LN STE 30330",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372044701",
"telephone_number": "615-936-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 THOMPSON LN STE 30330",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "37204",
"telephone_number": "615-936-2000"
}
],
"practiceLocations": [
{
"address_1": "2815 S Hampton Rd",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752242329",
"country_code": "US",
"telephone_number": "214-330-0137",
"fax_number": "214-333-7343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABDULLAH",
"first_name": "REDOR",
"middle_name": "NURI",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-14",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137245",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "23296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.