Nicole F Abraham, FNP
Individual provider Active NPI Family Nurse Practitioner · Suitland, MD
NPI 1225664808 · NPPES record last updated Mar 16, 2020
Key facts
- NPI
- 1225664808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R215401 (MD)
- Practice address
- 5875 Allentown Rd
Suitland, MD 20746-4570 - Phone
- (301) 702-2003
- NPI assigned
- Mar 16, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201023001130 | MD | Practitioner - Nurse Practitioner | 9234559683 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R215401 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Family Medicine Associates, P.a. | Current | Accepting new patients | |
| University of Maryland Family Medicine Associates, P.a. | Current |
Accepting new patients | |
| University of Maryland Faculty Physicians Immediate Care, LLC | Current |
Accepting new patients | |
| Kim a Kelly, M.D., P.C. | Past | Accepting new patients |
Locations
5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603
Interoperability endpoints
- nicole.abraham.1@9428.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R215401 | MD | Yes |
Addresses
Primary practice location
5875 Allentown Rd
Suitland, MD 20746-4570
Mailing address
15218 N Berwick LN
Upper Marlboro, MD 20774-9029
Other providers in Suitland, MD
- A Bridge to Care LLC
- A.a Sheena Care LLC
- Ethiopia Abebe
- Aczobi Medical Nuclear Medicine LLC
- Joan Ametha Adams
- Idayat Layla Adetoro
- Muzna Adil
- Khadijah Agbere
All providers in Suitland, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2020. 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.