Individual provider Active NPI

Redor Nuri Abdullah

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1205344009
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23296 Issued in TN
Practice address
719 Thompson LN Ste 30330
Nashville, TN 37204
Phone
(615) 936-2000
NPI assigned
Jan 14, 2018
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021001820 TN Practitioner - Nurse Practitioner 7315292083 Reassigns benefits to 3 organizations

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
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians
Amed Medical Group PLLCGroup PAC ID 2365773116, 5 clinicians

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

LicenseStateTypeSpecialty
AP137245TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Jan 11, 2022 Accepting new patients
Retail Health Clinics, LLC CurrentSince Dec 1, 2019 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jan 11, 2022 Accepting new patients
Amed Medical Group PLLC CurrentSince Oct 1, 2019 Accepting new patients
Topcare Medical PA PastSince Apr 22, 2014 Accepting new patients
Topcare Medical Group Inc PastSince Mar 27, 2022 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

  • Direct secure messaging: redor.abdullah@afc-tn.direct.office.nextgen.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.